In 2024, Dr. Douglas Francis Liva, MD had a list price for capsulotomy, glaucoma surgery, laser eye surgery, laser glaucoma surgery, laser surgery, laser trabeculoplasty, laser treatment, secondary cataract surgery, YAG laser capsulotomy, and YAG laser surgery that was lower than the list prices billed to Medicare by 95% of providers in related specialties within New Jersey. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

anterior segment surgery

cataract surgery

cataract surgery with IOL implantation

extracapsular cataract extraction with IOL implantation

extracapsular lens removal

eye surgery

intermediate eye exam

intraocular lens implant

lens removal surgery

lens replacement surgery

scanning computerized ophthalmic diagnostic imaging

SCODI of the posterior segment

simple cataract surgery

visual field test

In 2024, Dr. Douglas Francis Liva, MD had a list price for anterior segment surgery, cataract surgery, cataract surgery with IOL implantation, extracapsular cataract extraction (ECCE) with IOL implantation, extracapsular lens removal, eye surgery, intermediate eye exam, intraocular lens (IOL) implant, lens removal surgery, lens replacement surgery, scanning computerized ophthalmic diagnostic imaging (SCODI), SCODI of the posterior segment (SCODI-P), simple cataract surgery, and visual field test that was lower than the list prices billed to Medicare by 90% of providers in related specialties within New Jersey. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

comprehensive eye exam

In 2012, Dr. Douglas Francis Liva, MD had a list price for comprehensive eye exam, eye exam, eye tests, fundus photography, and ophthalmic (eye and orbit) imaging that was lower than the list prices billed to Medicare by 75% of providers in related specialties within New Jersey. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2012 were eye procedures, ultrasound (sonogram), capsulotomy and laser treatment.

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	33
doctor visit	831
eye procedures	2443
lacrimal (tearing system) procedures	12
laser treatment	33
ultrasound (sonogram)	41

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2013 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	64
doctor visit	873
eye procedures	2339
lacrimal (tearing system) procedures	18
laser treatment	82
ultrasound (sonogram)	23

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	422
Female	662

**Ethnicity**
Non-Hispanic White	1013
Black	11
Hispanic	19
Asian	24
Other	17
Native American	0

**Age**
From 65 to 74	379
From 75 to 84	465
85 and over	215
Less than 65	25

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2013

Hypertension	68
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	38
Depression	13
Chronic Kidney Disease	10
Asthma	7
Osteoperosis	11
Atrial Fibrilation	13
Heart Failure	17
Chronic Obstructive Pulmonary Disease	10
Diabetes	29
Dementia	8
Cancer	14

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2014 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	51
doctor visit	929
eye procedures	1993
lacrimal (tearing system) procedures	12
laser treatment	63
ultrasound (sonogram)	25

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	380
Female	609

**Ethnicity**
Non-Hispanic White	924
Black	0
Hispanic	0
Asian	22
Other	18
Native American	0

**Age**
From 65 to 74	356
From 75 to 84	422
85 and over	194
Less than 65	17

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2014

Hypertension	68
High Cholesterol	67
Stroke	6
Ischemic Heart Disease	37
Depression	13
Chronic Kidney Disease	12
Asthma	8
Osteoperosis	11
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	11
Diabetes	30
Dementia	6
Cancer	13

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2015 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	65
doctor visit	866
eye procedures	2010
lacrimal (tearing system) procedures	15
laser treatment	99
ultrasound (sonogram)	36

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	756
Female	1110

**Ethnicity**
Non-Hispanic White	1724
Black	0
Hispanic	38
Asian	56
Other	0
Native American	0

**Age**
From 65 to 74	690
From 75 to 84	770
85 and over	358
Less than 65	48

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2015

Hypertension	68
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	35
Depression	12
Chronic Kidney Disease	12
Asthma	9
Osteoperosis	11
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	9
Diabetes	29
Dementia	7
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2016 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	41
cyst removal	11
doctor visit	967
excision	11
eye procedures	1981
lacrimal (tearing system) procedures	16
laser treatment	61
removal of lesion (e.g. growth)	11
ultrasound (sonogram)	37

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	355
Female	556

**Ethnicity**
Non-Hispanic White	835
Black	0
Hispanic	26
Asian	22
Other	0
Native American	0

**Age**
From 65 to 74	326
From 75 to 84	382
85 and over	177
Less than 65	26

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2016

Hypertension	68
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	34
Depression	13
Chronic Kidney Disease	15
Asthma	11
Osteoperosis	11
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	8
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2017 were eye procedures, laser treatment, ultrasound (sonogram) and capsulotomy.

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	27
doctor visit	919
eye procedures	2001
lacrimal (tearing system) procedures	15
laser treatment	45
ultrasound (sonogram)	36

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	369
Female	561

**Ethnicity**
Non-Hispanic White	848
Black	0
Hispanic	0
Asian	25
Other	26
Native American	0

**Age**
From 65 to 74	325
From 75 to 84	410
85 and over	181
Less than 65	14

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2017

Hypertension	68
High Cholesterol	52
Stroke	5
Ischemic Heart Disease	37
Depression	13
Chronic Kidney Disease	18
Asthma	7
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	27
Dementia	10
Cancer	15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2018 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	36
doctor visit	929
eye procedures	2005
laser treatment	61
ultrasound (sonogram)	34

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	409
Female	578

**Ethnicity**
Non-Hispanic White	893
Black	0
Hispanic	31
Asian	29
Other	0
Native American	0

**Age**
From 65 to 74	356
From 75 to 84	438
85 and over	171
Less than 65	22

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2018

Hypertension	67
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	34
Depression	14
Chronic Kidney Disease	18
Asthma	6
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	8
Diabetes	26
Dementia	9
Cancer	15

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2019 were eye procedures, laser treatment, ultrasound (sonogram) and capsulotomy.

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	29
doctor visit	808
eye procedures	1752
laser treatment	61
ultrasound (sonogram)	36

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	354
Female	503

**Ethnicity**
Non-Hispanic White	776
Black	0
Hispanic	22
Asian	29
Other	0
Native American	0

**Age**
From 65 to 74	302
From 75 to 84	361
85 and over	177
Less than 65	17

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2019

Hypertension	67
High Cholesterol	69
Stroke	4
Ischemic Heart Disease	34
Depression	12
Chronic Kidney Disease	19
Asthma	7
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	9
Diabetes	26
Dementia	8
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2020 were eye procedures, laser treatment, ultrasound (sonogram) and capsulotomy.

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	14
doctor visit	539
eye procedures	1287
laser treatment	35
ultrasound (sonogram)	14

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	266
Female	380

**Ethnicity**
Non-Hispanic White	595
Black	0
Hispanic	16
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	236
From 75 to 84	281
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2020

Hypertension	65
High Cholesterol	63
Stroke	3
Ischemic Heart Disease	35
Depression	16
Chronic Kidney Disease	18
Asthma	6
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	8
Diabetes	25
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2021 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	31
doctor visit	612
eye procedures	1401
laser treatment	55
ultrasound (sonogram)	14

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	304
Female	406

**Ethnicity**
Non-Hispanic White	637
Black	0
Hispanic	0
Asian	24
Other	24
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	311
85 and over	134
Less than 65	15

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2021

Hypertension	67
High Cholesterol	69
Stroke	5
Ischemic Heart Disease	34
Depression	14
Chronic Kidney Disease	20
Asthma	6
Osteoperosis	12
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	8
Diabetes	25
Dementia	6
Cancer	14

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2022 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

abscess drainage	14
capsulotomy	28
doctor visit	795
eye procedures	1453
incision and drainage	14
laser treatment	49
ultrasound (sonogram)	18

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	324
Female	473

**Ethnicity**
Non-Hispanic White	713
Black	0
Hispanic	0
Asian	27
Other	27
Native American	0

**Age**
From 65 to 74	270
From 75 to 84	342
85 and over	174
Less than 65	11

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	31
Depression	12
Chronic Kidney Disease	15
Asthma	10
Osteoperosis	19
Atrial Fibrilation	17
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	4
Cancer	19

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2023 were eye procedures, laser treatment, ultrasound (sonogram) and capsulotomy.

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	26
doctor visit	1097
eye procedures	1412
laser treatment	57
ultrasound (sonogram)	49

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	353
Female	503

**Ethnicity**
Non-Hispanic White	777
Black	0
Hispanic	25
Asian	0
Other	26
Native American	0

**Age**
From 65 to 74	315
From 75 to 84	366
85 and over	164
Less than 65	11

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	29
Depression	13
Chronic Kidney Disease	16
Asthma	10
Osteoperosis	18
Atrial Fibrilation	15
Heart Failure	11
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Dementia	5
Cancer	20

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ during 2024 were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

capsulotomy	27
doctor visit	982
eye procedures	1127
laser treatment	48
ultrasound (sonogram)	26

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Male	328
Female	431

**Ethnicity**
Non-Hispanic White	683
Black	0
Hispanic	21
Asian	0
Other	29
Native American	0

**Age**
From 65 to 74	256
From 75 to 84	331
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	30
Depression	14
Chronic Kidney Disease	18
Asthma	10
Osteoperosis	18
Atrial Fibrilation	19
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	23
Dementia	4
Cancer	21

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Douglas Francis Liva, MD for Medicare patients.

The highest averages for the top procedures that Dr. Douglas Francis Liva, MD treated as an ophthalmologist in Paramus, NJ were eye procedures, laser treatment, capsulotomy and ultrasound (sonogram).

abscess drainage	14
capsulotomy	36
cyst removal	11
doctor visit	857
excision	11
eye procedures	1784
incision and drainage	14
lacrimal (tearing system) procedures	14
laser treatment	57
removal of lesion (e.g. growth)	11
ultrasound (sonogram)	29

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Douglas Francis Liva, MD.

**Gender**
Female	520
Male	355

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	19
Non-Hispanic White	801
Hispanic	15
Native American / Alaskan Native	0
Other	14

**Age**
85 and over	149
75 to 84	375
Less than 65	15
65 to 74	312

Average of Total of Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Douglas Francis Liva, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	63
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	31
Depression	12
Chronic Kidney Disease	14
Asthma	7
Osteoporosis	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	9
Diabetes	24
Atrial Fibrillation	12
Cancer	14
Dementia	6

Education & Training

He has a state license in New Jersey.

Licensed In: New Jersey

Ratings & Reviews

Dr. Douglas Francis Liva, MD has a high overall rating with an average of 3.5 out of 5 stars based on 2 ratings. We collect ratings and reviews of Dr. Douglas Francis Liva, MD from all over the web to help you find the right in Paramus, NJ.

3.5

Overall Rating

(2 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Douglas Francis Liva, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Carl Zeiss Meditec, Inc.	$13,889 Humphrey HFA $6,768	IOLMaster 700 $6,160	CLARUS 500 Fundus Camera $58	$904
Allergan Inc.	$2,385 RESTASIS $657	COMBIGAN $553	LUMIGAN $293	ALPHAGAN P $257	BOTOX $130	Other $494
Alcon Laboratories Inc	$2,149 CataractEquipment $268	AcrySof $166	ACTIVEFOCUS $136	CyPass $128	Durezol $123	Other $1,327
Alcon Vision LLC	$1,034 CLAREON $282	PANOPTIX $248	AcrySof IQ VIVITY $121	DAILIES TOTAL1 $50	iLux $49	Other $284
Bausch and Lomb Inc.	$976 LOTEMAX GEL $388	BEPREVE $231	PROLENSA $218	TRULIGN TORIC $118	ZYLET $21
Other	$3,581 XIIDRA $610	OPD-III $333	ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM $209	Rocklatan $153	Tecnis 1-piece IOL $142	Other $2,133

**Types of Payments**
Food and Beverage	$9,265
Consulting Fee	$5,360
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$5,280
Gift	$3,725
Entertainment	$333
Other	$50

Biography

Dr. Douglas Liva is an ophthalmology (eye disease) specialist in Paramus, NJ. Dr. Liva has obtained a license to practice in New Jersey.

Select Year:

Dr. Douglas Francis Liva, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Douglas Francis Liva, MD in 2024

By Affordability:

By Affordability:

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2022

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

2023 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2023

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

2024 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD in 2024

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Average Medicare Patient Data From 2012 - 2024

Average of Total of Conditions of Medicare patients treated by Dr. Douglas Francis Liva, MD From 2012 - 2024

Education & Training

Ratings & Reviews

General Payments

Biography

Ophthalmologists in Nearby Locations

Other Providers in Paramus, NJ