Brendan George Liddy, PA-C is a
Physician Assistant based in River Vale, New Jersey. Brendan George Liddy is licensed to practice in * (Not Available) (license number ) and his current practice location is
716 Wilson Ct, River Vale, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 321-8601.
NPI number for Brendan George Liddy is 1811876170 and his current mailing address is 716 Wilson Ct, River Vale, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811876170.
Provider's Profile
| Full Name | Brendan George Liddy |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 716 Wilson Ct, River Vale, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811876170
- Provider Enumeration Date: 08/30/2025
- Last Update Date: 08/30/2025
Medical Identifiers
Medical identifiers for Brendan George Liddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811876170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brendan George Liddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brendan George Liddy, PA-C
716 Wilson Ct,
River Vale, NJ 07675-6345
Ph: (201) 321-8601 | Brendan George Liddy, PA-C
716 Wilson Ct,
River Vale, NJ 07675-6345
Ph: (201) 321-8601 |
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