Bradford Louis Madreperl, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00032400 Issued in NJ

Practice address

45 Memorial Pkwy
Long Branch, NJ 07740-6720

Phone

(732) 229-0800

Fax

(732) 229-0800

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1679748826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEMORIAL PKWY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406720",
            "telephone_number": "732-229-0800",
            "fax_number": "732-229-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEMORIAL PKWY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406720",
            "telephone_number": "732-229-0800",
            "fax_number": "732-229-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADREPERL",
        "first_name": "BRADFORD",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00032400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Jay Luria, MD
• Cara Nicole Lynch, OTR/L
• Kristy Maag, APN
• Raymart Set Macasaet, MD
• Caroline Maclellan
• Carin Magharious, DDS
• Suzanne A Magherini Rothe, M.D.
• Nashra Maheen
• Nisha Malik, M.D.
• Zarish Malik, MD

• Clinical Social Worker in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.