| Brightmindsmd Llc | |
|
11 Commerce Dr Cranford NJ 07016-3501 | |
| (908) 386-5517 | |
| (844) 355-4926 |
| Full Name | Brightmindsmd Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11 Commerce Dr, Cranford, New Jersey |
| Authorized Official Name and Position | Bolanle Akinronbi (OFFICER) |
| Authorized Official Contact | 9083865517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightmindsmd Llc 11 Commerce Dr Cranford NJ 07016-3501 Ph: (908) 386-5517 | Brightmindsmd Llc 11 Commerce Dr Cranford NJ 07016-3501 Ph: (908) 386-5517 |
| NPI Number | 1942868641 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Medicare PECOS PAC ID | 7810384807 |
|---|---|
| Medicare Enrollment ID | O20220421000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942868641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ololade F Ekwere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871929885 PECOS PAC ID: 0345560132 Enrollment ID: I20150519000749 |
| Provider Name | Bolanle Akinronbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912290602 PECOS PAC ID: 1153624846 Enrollment ID: I20160129002422 |
| Provider Name | Kesha Eden Cheron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557184 PECOS PAC ID: 8123363793 Enrollment ID: I20181231001078 |
| Provider Name | Gezel Saheli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821527847 PECOS PAC ID: 0749690972 Enrollment ID: I20201029001130 |
| Provider Name | Gideon Thuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518540038 PECOS PAC ID: 5890192975 Enrollment ID: I20210916002923 |
| Provider Name | Mahamaya Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255719530 PECOS PAC ID: 7618284423 Enrollment ID: I20220516000282 |
| Provider Name | Sade Diahann Frazier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184128126 PECOS PAC ID: 4486055803 Enrollment ID: I20220830001339 |
| Provider Name | Vishnupriya Samarendra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982130837 PECOS PAC ID: 2860877768 Enrollment ID: I20220913002715 |
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