Healthcare Provider Details

I. General information

NPI: 1295670446
Provider Name (Legal Business Name): LIVO MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 MONTGOMERY ST # 6A
JERSEY CITY NJ
07302-3128
US

IV. Provider business mailing address

580 MONTGOMERY ST # 6A
JERSEY CITY NJ
07302-3128
US

V. Phone/Fax

Practice location:
  • Phone: 234-564-6220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMR BADAWY
Title or Position: PRESIDENT
Credential: DO
Phone: 234-564-6220