Dr. Bradford C Liva, MD
Ophthalmology, Retina Specialist in Ridgewood, New Jersey
1669477485- Practice location
- 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451
- Phone
- 201-444-1185
- Fax
- 201-444-1403
- Last updated
- October 15, 2018
Bradford C Liva is an Ophthalmology, Retina Specialist based in Ridgewood, NJ. Bradford C Liva practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Bradford C Liva is 1669477485 and holds a License No. ma38479 (NJ). The current practice location address for Bradford C Liva is 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451 and can be reached out via phone at 201-444-1185 and via fax at 201-444-1403.
Provider Profile Details
- NPI Number
- 1669477485
- Provider Name
- Bradford C Liva
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451
- Phone Number
- 201-444-1185
- Fax Number
- 201-444-1403
- Primary Taxonomy
- Ophthalmology, Retina Specialist · 207WX0107X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 17, 2005
- Last Update Date
- October 15, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Prospect St Ste 1
Ridgewood, NJ 07450-4451 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4451
- Phone Number
- 201-444-1185
- Fax Number
- 201-444-1403
Provider Business Mailing Address Details
- Address
- 119 Prospect St Ste 1
Ridgewood, NJ 07450-4451 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-4451
- Phone Number
- 201-444-1185
- Fax Number
- 201-444-1403
License Information
- License Number (1)
- ma38479
- License State (1)
- NJ
- Taxonomy (1)
- Ophthalmology · 207W00000X
- License Number (2)
- 38479
- License State (2)
- NJ
- Taxonomy (2)
- Ophthalmology, Retina Specialist · 207WX0107X · 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 Dr. Bradford C Liva, MD?
The NPI number of Dr. Bradford C Liva, MD is 1669477485. It was assigned on June 17, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Bradford C Liva, MD?
Dr. Bradford C Liva, MD is registered under the primary taxonomy Ophthalmology, Retina Specialist (code 207WX0107X), licensed in NJ under license number ma38479.
Where does Dr. Bradford C Liva, MD practice?
The practice location is 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451. The office can be reached at 201-444-1185 (phone) or 201-444-1403 (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 1669477485 directly on the NPPES registry website.