| Beaware Corp | |
|
1215 Route 70 Ste 2001 Lakewood NJ 08701-7023 | |
| (212) 925-2222 | |
| (732) 942-5058 |
| Full Name | Beaware Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1215 Route 70 Ste 2001, Lakewood, New Jersey |
| Authorized Official Name and Position | Tony Juneja (MD/OWNER) |
| Authorized Official Contact | 7329425056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaware Corp 1215 Route 70 Ste 2001 Lakewood NJ 08701-7023 Ph: (212) 925-2222 | Beaware Corp 1215 Route 70 Ste 2001 Lakewood NJ 08701-7023 Ph: (212) 925-2222 |
| NPI Number | 1720641004 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 11/02/2021 |
| Certification Date | 04/13/2021 |
| Medicare PECOS PAC ID | 9931597796 |
|---|---|
| Medicare Enrollment ID | O20211027001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720641004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Audrey L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851308522 PECOS PAC ID: 7810947470 Enrollment ID: I20050201000050 |
| Provider Name | Tony Juneja |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871519215 PECOS PAC ID: 6002816931 Enrollment ID: I20061228000020 |
| Provider Name | Moshe Frances |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626870 PECOS PAC ID: 5799174272 Enrollment ID: I20211123001191 |
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