| Brick Psychiatric Services Inc | |
|
2640 Highway 70 Ste 12-201 Manasquan NJ 08736-2612 | |
| (732) 202-0622 | |
| (732) 202-0620 |
| Full Name | Brick Psychiatric Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2640 Highway 70 Ste 12-201, Manasquan, New Jersey |
| Authorized Official Name and Position | Sabira Rajput (PRESIDENT) |
| Authorized Official Contact | 7322020622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brick Psychiatric Services Inc 2640 Highway 70 Ste 12-201 Manasquan NJ 08736-2612 Ph: (732) 202-0622 | Brick Psychiatric Services Inc 2640 Highway 70 Ste 12-201 Manasquan NJ 08736-2612 Ph: (732) 202-0622 |
| NPI Number | 1992818777 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 0749367654 |
|---|---|
| Medicare Enrollment ID | O20080402000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992818777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA06739300 (New Jersey) | Primary |
| Provider Name | Zulfiqar A Rajput |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427074285 PECOS PAC ID: 5294812194 Enrollment ID: I20080402000585 |
| Provider Name | Bolanle Olatoye Popoola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952711194 PECOS PAC ID: 0042247793 Enrollment ID: I20141112000106 |
| Provider Name | Jessica Augustyniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386390508 PECOS PAC ID: 1951796002 Enrollment ID: I20220328001468 |
| Provider Name | Suzanne Elizabeth Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215192877 PECOS PAC ID: 0648632356 Enrollment ID: I20230811002840 |
| Provider Name | Amy Marie Derrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174281513 PECOS PAC ID: 9739532425 Enrollment ID: I20240130000528 |
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