DR. LARISA KAYSERMAN (NPI# 1417926361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417926361 |
| Entity Type | Individual |
| Full Name | DR. LARISA KAYSERMAN |
| Credential | MD |
| Practice Address |
1200 E Ridgewood Ave Ridgewood NJ 07450-3957 |
| Practice Telephone | 2016129600 |
| Practice Fax Number | 2016120428 |
| Mailing Telephone | 2016129600 |
| Mailing Fax Number | 2016120428 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25MA06139100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6798608 | 05 |
| Street Address |
1200 E RIDGEWOOD AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053537 | Joel E. Kopelman | Plastic Surgery | 1200 E Ridgewood Ave, Ste 1, Ridgewood, NJ 07450-3957 | 2005-06-15 |
| 1558915140 | Joy Charnesky | Neurological Surgery | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2019-07-31 |
| 1811411267 | Tamar D Mermelstein | Physician Assistant | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2017-07-27 |
| 1982142832 | Nicole Mohr | Physical Therapist | 1200 E Ridgewood Ave, Suite 208, Ridgewood, NJ 07450-3957 | 2017-02-10 |
| 1356897029 | Alexandra Kratch | Physical Therapist | 1200 E Ridgewood Ave, East Wing, Suite 208, Ridgewood, NJ 07450-3957 | 2016-08-31 |
| 1275919847 | Sylvia Ardeljan-savic | Physician Assistant | 1200 E Ridgewood Ave, Suite 200, Ridgewood, NJ 07450-3957 | 2015-08-06 |
| 1437544426 | Synapse Consulting | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2015-04-06 |
| 1104210301 | Marianne Marie Longo | Nurse Practitioner | 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 | 2015-03-25 |
| 1679966907 | Advanced Surgical Center of Bergen County, P.C. | Clinic/Center | 1200 E Ridgewood Ave, Ste 211, Ridgewood, NJ 07450-3957 | 2015-03-11 |
| 1972923621 | Lenka Mysliwiec | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2014-04-21 |
| Find all providers in the same location | ||||
| 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 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952606774 | Raj Modi M.d. P.c | Ophthalmology | 55 44 Metropolitan Ave., Ridgewood, NY 11385-1221 | 2011-01-26 |
| 1518099209 | Diamond District Corneal, P.C. | Ophthalmology | 56-50 Myrtle Avenue, Ridgewood, NY 11385 | 2007-03-09 |
| 1508902065 | Richard Norden | Ophthalmology | 1144 E Ridgewood Ave, Ridgewood, NJ 07450-3915 | 2007-01-30 |
| 1699860932 | Charles Tsakrios Jr. | Ophthalmology | 89 N Maple Ave, 3rd Floor, Ridgewood, NJ 07450-3235 | 2006-10-03 |
| 1023117132 | Murray A Wolkstein | Ophthalmology | 200 S Broad St Unit B, Ridgewood, NJ 07450-5003 | 2006-09-22 |
| 1881702272 | Stephen Perrone | Ophthalmology | 6855 Fresh Pond Rd, Ridgewood, NY 11385-5263 | 2006-08-27 |
| 1669477485 | Bradford C Liva | Ophthalmology | 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451 | 2005-06-17 |
| 1265749964 | Amesur Eye Associates, P.a. | Ophthalmology | 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939 | 2010-09-02 |
| 1871817866 | Bradford C. Liva, M.d.,pa | Ophthalmology | 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451 | 2010-03-18 |
| 1972747749 | Song Eun Lee | Ophthalmology | 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952 | 2009-04-23 |
| Find all providers in RIDGEWOOD | ||||
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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.