Individual provider Active NPI

Jeffrey Scott Liva, MD, MPH, MS

  • Occupational Medicine Physician
  • Paramus, NJ
National Provider Identifier
1912963885
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
MA49009 Issued in NJ
Practice address
1 W Ridgewood Ave
Suite G-1
Paramus, NJ 07652-2359
Phone
(201) 444-3060
Fax
(201) 444-3933
NPI assigned
Apr 21, 2006
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X MA49009 NJ Primary
Occupational Medicine Physician 2083X0100X 205179-1 NY
Occupational Medicine Physician 2083X0100X 069231 MI

Addresses

Primary practice location

1 W Ridgewood Ave
Suite G-1
Paramus, NJ 07652-2359

Mailing address

1 W Ridgewood Ave
Suite G-1
Paramus, NJ 07652-2359
Phone (201) 444-3060

Other identifiers 2

IdentifierTypeStateIssuer
133803BS8OtherNPI
2K0321OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120717000241 NJ Practitioner - Preventive MedicinePractitioner - General Practice 7810988649 Reassigns benefits to 1 organization
I20151002000386 NY Practitioner - Emergency Medicine 7810988649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: General Practice
Education
University of Miami, LM Miller School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 W Ridgewood Ave
Suite G 4
Paramus, NJ 07652-2356
Phone (201) 444-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
069231MIMDOccupational Medicine Physician
MA49009NJMDOccupational Medicine Physician
205179-1NYMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventiveplus Current Accepting new patients
Optum Urgent Care, PLLC CurrentSince Oct 14, 2014 Accepting new patients
Family Physician, LLC Past Accepting new patients

Locations

1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060

1 W Ridgewood Ave
Ste G1
Paramus, NJ 07652
Phone (201) 444-3060

1 W Ridgewood Ave
Ste G4
Paramus, NJ 07652
Phone (201) 444-3060

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1912963885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE G-1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-444-3060",
            "fax_number": "201-444-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE G-1",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-444-3060",
            "fax_number": "201-444-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVA",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "MD, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": "MA49009",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "205179-1",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "069231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "133803BS8",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K0321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.