Individual provider Active NPI

Boris Livshits, M.D.

  • Internal Medicine Physician
  • Elmwood Park, NJ
National Provider Identifier
1962442210
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA070138 Issued in NJ
Practice address
278 Broadway
1St Floor
Elmwood Park, NJ 07407
Phone
(201) 797-8914
Fax
(201) 797-8916
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA070138 NJ Primary

Addresses

Primary practice location

278 Broadway
1St Floor
Elmwood Park, NJ 07407

Mailing address

278 Broadway
1St Floor
Elmwood Park, NJ 07407
Phone (201) 797-8914

Other identifiers 2

IdentifierTypeStateIssuer
8080313MedicaidNJ
8080305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000180 NJ Practitioner - Internal Medicine 4981692449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

278 Broadway
Elmwood Park, NJ 07407-3525

278 Broadway
Suite 1
Elmwood Park, NJ 07407-3526
Phone (201) 797-8914

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
77.58 of 100Reported as individual
Quality
35.13
Promoting interoperability
88
Improvement activities
40
Cost
88.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA070138NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Center, P.C. Internal Medicine CurrentSince Feb 1, 2000 Accepting new patients

Locations

239 Avenel St
Ste 4
Avenel, NJ 07001
Phone (732) 602-6192

278 Broadway
Elmwood Park, NJ 07407
Phone (201) 797-8914

278 Broadway
Ste 1
Elmwood Park, NJ 07407
Phone (201) 797-8914

Organizations & group practices 1

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1962442210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-797-8914",
            "fax_number": "201-797-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BROADWAY",
            "address_2": "1ST FLOOR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-797-8914",
            "fax_number": "201-797-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVSHITS",
        "first_name": "BORIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA070138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8080313",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8080305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

Verify at the official NPI Registry.