Brendan George Liddy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

716 Wilson CT
River Vale, NJ 07675-6345

Phone

(201) 321-8601

NPI assigned

Aug 30, 2025

Last updated

Aug 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NJ Eye and Ear LLC

  • Ophthalmology Physician
  • Englewood, NJ
  • NPI 1356860811
  Medicare reassignment Care Compare group NPD
• NJ Eye and Ear LLC

  • Optometrist
  • Clifton, NJ
  • NPI 1154838316
  NPD (past)

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

{
    "created_epoch": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1811876170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WILSON CT",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756345",
            "telephone_number": "201-321-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 WILSON CT",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756345",
            "telephone_number": "201-321-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDY",
        "first_name": "BRENDAN",
        "middle_name": "GEORGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lefelt, D.D.S.
• William Richard Levin, DMD
• Melissa Dana Levine, OTR/L
• Theresa Louise Levy
• Liberty Acupuncture & Integrative Medicine
• Patricia Lopez, RN, NP-C
• Caitlyn Frances Sambon Maranon, DPT
• Marcies Movement LLC
• Heidi Martin, DPT
• Rebecca Massa

• Physician Assistant in River Vale, NJ
• Providers in River Vale, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.