Active NPIIndividual provider

Dr. Larisa Kayserman, MD

Ophthalmology in Ridgewood, New Jersey

NPI Number1417926361
Practice location
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Fax
201-612-0428
Last updated
September 21, 2023

Larisa Kayserman is an Ophthalmology based in Ridgewood, NJ. Larisa Kayserman practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Larisa Kayserman is 1417926361 and holds a License No. 25MA06139100 (NJ). The current practice location address for Larisa Kayserman is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 and can be reached out via phone at 201-612-9600 and via fax at 201-612-0428.

Provider Profile Details

NPI Number
1417926361
Provider Name
Larisa Kayserman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957
Phone Number
201-612-9600
Fax Number
201-612-0428
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2006
Last Update Date
September 21, 2023
Certification Date
September 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
201-612-9600
Fax Number
201-612-0428
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
City
Ridgewood
State
NJ
Zip
07450-3957
Phone Number
201-612-9600
Fax Number
201-612-0428

License Information

License Number (1)
25MA06139100
License State (1)
NJ
Taxonomy (1)
Ophthalmology, Retina Specialist · 207WX0107X
License Number (2)
25MA06139100
License State (2)
NJ
Taxonomy (2)
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Larisa Kayserman, MD?

The NPI number of Dr. Larisa Kayserman, MD is 1417926361. It was assigned on March 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Larisa Kayserman, MD?

Dr. Larisa Kayserman, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA06139100.

Where does Dr. Larisa Kayserman, MD practice?

The practice location is 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957. The office can be reached at 201-612-9600 (phone) or 201-612-0428 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417926361 directly on the NPPES registry website.

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