Active NPI
Cliffside Eye Center L L C
- Ophthalmology Physician
- Cliffside Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA05042700
- Legal business name
- CLIFFSIDE EYE CENTER L L C
- Practice address
- 663 Palisade Ave
Suite 303
Cliffside Park, NJ 07010-3012 - Phone
- (201) 941-9400
- Fax
- (201) 941-5840
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard E Levine, MD
- Title
- Owner
- Phone
- (201) 941-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA05042700 | NJ | Primary |
Addresses
Primary practice location
663 Palisade Ave
Suite 303
Cliffside Park, NJ 07010-3012
Mailing address
663 Palisade Ave
Suite 303
Cliffside Park, NJ 07010-3012
Phone (201) 941-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2110604 | Cliffside Laser Eye Center | Certificate of waiver | Mar 20, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- West Orange, NJ
- NPI 1679728901
Member Of
Locations
663 Palisade Ave
Ste 303
Cliffside Pk, NJ 07010
Phone (201) 941-9400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Cliffside Park, NJ
- NPI 1518096692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1942402011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 PALISADE AVE",
"address_2": "SUITE 303",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103012",
"telephone_number": "201-941-9400",
"fax_number": "201-941-5840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 PALISADE AVE",
"address_2": "SUITE 303",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103012",
"telephone_number": "201-941-9400",
"fax_number": "201-941-5840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFFSIDE EYE CENTER L L C",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-941-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA05042700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.