Bradford C. Liva, M.D.,PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA38479 Issued in NJ

Legal business name

BRADFORD C. LIVA, M.D.,PA

Practice address

119 Prospect St Ste 1
Ridgewood, NJ 07450-4451

Phone

(201) 444-1185

Fax

(201) 444-1403

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bradford C Liva, MD

Title

President

Phone

(201) 444-1185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1871817866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PROSPECT ST STE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504451",
            "telephone_number": "201-444-1185",
            "fax_number": "201-444-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PROSPECT ST STE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504451",
            "telephone_number": "201-444-1185",
            "fax_number": "201-444-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD C. LIVA, M.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "LIVA",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA38479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bomberg, LPC
• Nancy Jane Bortinger, LCSW
• Beth A Bosticco, PA-C
• Kristen Tozzi Boyan, LCSW
• Boyd H Seidenberg Mdpa
• Summer B Brancoccio, LAC, LCADC
• Breathe Well Corporation
• Brendan P Sullivan MD Facc LLC
• Anne Frances Brennecke, APN
• Laura Brent, PH.D.

• Ophthalmology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.