Miss Mikaela K Bradley, PA-C
Physician Assistant in Livingston, New Jersey
1417677758- Practice location
- 200 S Orange Ave Ste 230, Livingston, NJ 07039-5817
- Phone
- 973-322-7005
- Fax
- —
- Last updated
- February 23, 2023
Mikaela K Bradley is a Physician Assistant based in Livingston, NJ. Mikaela K Bradley practices in Livingston, NJ and has the professional credentials of PA-C. The NPI Number for Mikaela K Bradley is 1417677758 and holds a License No. 25MP00723200 (NJ). The current practice location address for Mikaela K Bradley is 200 S Orange Ave Ste 230, Livingston, NJ 07039-5817 and can be reached out via phone at 973-322-7005.
Provider Profile Details
- NPI Number
- 1417677758
- Provider Name
- Mikaela K Bradley
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 S Orange Ave Ste 230, Livingston, NJ 07039-5817
- Phone Number
- 973-322-7005
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2022
- Last Update Date
- February 23, 2023
- Certification Date
- February 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 S Orange Ave Ste 230
Livingston, NJ 07039-5817 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-5817
- Phone Number
- 973-322-7005
Provider Business Mailing Address Details
- Address
- 200 S Orange Ave Ste 230
Livingston, NJ 07039-5817 - City
- Livingston
- State
- NJ
- Zip
- 07039-5817
License Information
- License Number
- 25MP00723200
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Mikaela K Bradley, PA-C?
The NPI number of Miss Mikaela K Bradley, PA-C is 1417677758. It was assigned on August 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Miss Mikaela K Bradley, PA-C?
Miss Mikaela K Bradley, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00723200.
Where does Miss Mikaela K Bradley, PA-C practice?
The practice location is 200 S Orange Ave Ste 230, Livingston, NJ 07039-5817. The office can be reached at 973-322-7005 (phone).
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 1417677758 directly on the NPPES registry website.