Mr Justin Michael Liddy, PA-C in Mahwah, NJ - Medicare Physician Assistant

Mr Justin Michael Liddy, PA-C is a medicare enrolled "Physician Assistant" in Mahwah, New Jersey. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Main Line Healthcare and his current practice location is 1400 Macarthur Blvd, Mahwah, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 316-8431.

Mr Justin Michael Liddy is licensed to practice in New Jersey (license number 25MP00500100) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780154443.

Contact Information

	Mr Justin Michael Liddy, PA-C
	1400 Macarthur Blvd, Mahwah, NJ 07430-3618
	(201) 316-8431
	(201) 962-9735

Map and Direction

Provider's Profile

Full Name	Mr Justin Michael Liddy
Gender	Male
Speciality	Physician Assistant
Experience	6 Years
Location	1400 Macarthur Blvd, Mahwah, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Justin Michael Liddy graduated from nursing school in 2018

NPI Data:

NPI Number: 1780154443
Provider Enumeration Date: 11/26/2018
Last Update Date: 11/26/2018

Medicare PECOS Information:

PECOS PAC ID: 0941548762
Enrollment ID: I20221027002751

Medical Identifiers

Medical identifiers for Mr Justin Michael Liddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780154443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00500100 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bryn Mawr Hospital	Bryn mawr, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Line Healthcare	1951215201	907

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. Mr Justin Michael Liddy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Justin Michael Liddy, PA-C 716 Wilson Ct, River Vale, NJ 07675-6345 Ph: (201) 664-2597	Mr Justin Michael Liddy, PA-C 1400 Macarthur Blvd, Mahwah, NJ 07430-3618 Ph: (201) 316-8431

Reviews and Comments

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Mr Justin Michael Liddy, PA-C - Medicare Physician Assistant in Mahwah, NJ