DR. DOUGLAS SCOTT LIVORNESE (NPI# 1902876915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902876915 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS SCOTT LIVORNESE |
| Credential | M.D. |
| Practice Address |
30 Corbett Way Eatontown NJ 07724-2263 |
| Practice Telephone | 7323800020 |
| Practice Fax Number | 7323801990 |
| Mailing Telephone | 7323800020 |
| Mailing Fax Number | 7323801990 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MA58192 | NJ | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MA58192 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7404409 | 05 |
| Street Address |
30 CORBETT WAY |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295250439 | Amanda Doerr | Speech-Language Pathologist | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2017-08-09 |
| 1255883955 | Meghan Rogers | Nurse Practitioner | 30 Corbett Way, Monmouth Pulmonary Associates, Eatontown, NJ 07724-2263 | 2016-10-28 |
| 1821454471 | Boning Li | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2016-01-12 |
| 1033314745 | Violet Elizabeth Kramer | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2007-06-21 |
| 1083712541 | Monmouth Pulmonary Consultants P A | Specialist | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2006-09-20 |
| 1316918618 | Sharon Michelle Weiner | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2006-01-27 |
| 1780655068 | Robert Michael Kosinski | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2006-01-27 |
| 1285604868 | Chandler Dean Patton | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033314745 | Violet Elizabeth Kramer | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2007-06-21 |
| 1316918618 | Sharon Michelle Weiner | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2006-01-27 |
| 1285604868 | Chandler Dean Patton | Internal Medicine | 30 Corbett Way, Eatontown, NJ 07724-2263 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455072 | J Medical Practice LLC | Internal Medicine | 668 N Forest Dr, Teaneck, NJ 07666-2047 | 2019-12-23 |
| 1265944946 | Hari Brundavanam Md Pa | Internal Medicine | 1 Dumont Ct, Lawrenceville, NJ 08648-1334 | 2017-11-02 |
| 1548712847 | Magdy Wahba, Md | Internal Medicine | 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 | 2016-11-03 |
| 1558730705 | Academic Icu Doc, Pa | Internal Medicine | 5 Rushton Ct, West Windsor, NJ 08550-3320 | 2015-09-17 |
| 1396150082 | Howard Levy | Internal Medicine | 65 Van Dyke Rd, Hopewell, NJ 08525-1203 | 2014-06-22 |
| 1881011237 | Hany Abdallah | Internal Medicine | 27 Elm St Apt 3, Madison, NJ 07940-1553 | 2014-03-24 |
| 1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
| 1225459969 | Aloke Chakravarti | Internal Medicine | 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 | 2013-12-24 |
| 1184962227 | Salem Pulmonary, Critical Care and Sleep Medicine, LLC | Internal Medicine | 18 Lansbrook Ct, Sewell, NJ 08080-4113 | 2013-01-24 |
| 1194086694 | Kristen Denise Scatliffe | Internal Medicine | 5665 Kennedy Blvd, Apt 522, North Bergen, NJ 07047-3223 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DOUGLAS SCOTT LIVORNESE.
| 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.