DR. BRADFORD C LIVA (NPI# 1669477485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669477485 |
| Entity Type | Individual |
| Full Name | DR. BRADFORD C LIVA |
| Credential | MD |
| Practice Address |
119 Prospect St Ste 1 Ridgewood NJ 07450-4451 |
| Practice Telephone | 2014441185 |
| Practice Fax Number | 2014441403 |
| Mailing Telephone | 2014441185 |
| Mailing Fax Number | 2014441403 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MA38479 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
38479 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1389301 | 05 |
| Street Address |
119 PROSPECT ST STE 1 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871817866 | Bradford C. Liva, M.d.,pa | Ophthalmology | 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730574872 | Konstantin Astafurov | Ophthalmology | 10 Plum St Ste 600, New Brunswick, NJ 08901-2065 | 2015-04-06 |
| 1386986669 | Boleslav Kotlyar | Ophthalmology | 306 Main St Ste 2, Millburn, NJ 07041-1178 | 2013-03-25 |
| 1679625172 | Associated Retinal Surgeons, Pa | Ophthalmology | 8 Ranoldo Ter, Cherry Hill, NJ 08034-2112 | 2007-01-17 |
| 1013910942 | Haris Irfan Amin | Ophthalmology | 780 Route 37 W, Ste 200, Toms River, NJ 08755-5059 | 2005-05-24 |
| 1013280890 | Ravi Dilip Patel | Ophthalmology | 780 Rte 37 W, Suite 200, Toms River, NJ 08755-5059 | 2012-02-09 |
| 1831345578 | Retina Care Center, P.C. | Ophthalmology | 1255 Route 70 Ste 31n, Lakewood, NJ 08701-5973 | 2008-08-13 |
| 1316085566 | Mohammedyusuf Ebrahimadham Hajee | Ophthalmology | 780 Rte 37 W, Suite 200, Toms River, NJ 08755-5059 | 2007-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.