Mr. Justin M Liddy, PA-C
Physician Assistant in Mahwah, New Jersey
1780154443- Practice location
- 1400 Macarthur Blvd, Mahwah, NJ 07430-3618
- Phone
- 201-316-8431
- Fax
- 201-962-9735
- Last updated
- November 26, 2018
Justin Michael Liddy is a Physician Assistant based in Mahwah, NJ. Justin Michael Liddy practices in Mahwah, NJ and has the professional credentials of PA-C. The NPI Number for Justin Michael Liddy is 1780154443 and holds a License No. 25MP00500100 (NJ). The current practice location address for Justin Michael Liddy is 1400 Macarthur Blvd, Mahwah, NJ 07430-3618 and can be reached out via phone at 201-316-8431 and via fax at 201-962-9735.
Provider Profile Details
- NPI Number
- 1780154443
- Provider Name
- Justin Michael Liddy
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1400 Macarthur Blvd, Mahwah, NJ 07430-3618
- Phone Number
- 201-316-8431
- Fax Number
- 201-962-9735
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 26, 2018
- Last Update Date
- November 26, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1400 Macarthur Blvd
Mahwah, NJ 07430-3618 - City
- Mahwah
- State
- New Jersey
- Zip
- 07430-3618
- Phone Number
- 201-316-8431
- Fax Number
- 201-962-9735
Provider Business Mailing Address Details
- Address
- 716 Wilson CT
River Vale, NJ 07675-6345 - City
- River Vale
- State
- NJ
- Zip
- 07675-6345
- Phone Number
- 201-664-2597
License Information
- License Number
- 25MP00500100
- 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. | |||
Other Physician Assistants near Mahwah, NJ
View all Physician Assistants in Mahwah →- Alexandria Mesropyan, PAPhysician Assistant · NPI 1225730252
- Ashley N Parchinski, PA-CPhysician Assistant · NPI 1366052474
- Ms. Myrvine Bernadotte, MDEmergency Medicine · NPI 1154534337
- Spectrum Care Management And Counseling, LLCCommunity/Behavioral Health · NPI 1588960975
- Children'S Aid And Family Services, INC.Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1487551768
- Milestone Counseling CenterClinic/Center, Rehabilitation, Substance Use Disorder · NPI 1881599421
Frequently Asked Questions
What is the NPI number of Mr. Justin M Liddy, PA-C?
The NPI number of Mr. Justin M Liddy, PA-C is 1780154443. It was assigned on November 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Justin M Liddy, PA-C?
Mr. Justin M Liddy, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00500100.
Where does Mr. Justin M Liddy, PA-C practice?
The practice location is 1400 Macarthur Blvd, Mahwah, NJ 07430-3618. The office can be reached at 201-316-8431 (phone) or 201-962-9735 (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 1780154443 directly on the NPPES registry website.