Brain Ways Llc | |
13 Harris Ct Lawrence NJ 08648-2625 | |
(609) 815-5618 | |
Not Available |
Full Name | Brain Ways Llc |
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Speciality | Clinic/Center |
Location | 13 Harris Ct, Lawrence, New Jersey |
Authorized Official Name and Position | Abdallah Riyad Ragab (CEO) |
Authorized Official Contact | 5165057200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brain Ways Llc 13 Harris Ct Lawrence NJ 08648-2625 Ph: () - | Brain Ways Llc 13 Harris Ct Lawrence NJ 08648-2625 Ph: (609) 815-5618 |
NPI Number | 1801556691 |
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Provider Enumeration Date | 12/21/2021 |
Last Update Date | 10/15/2024 |
Medicare PECOS PAC ID | 6103219985 |
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Medicare Enrollment ID | O20220201000560 |
Identifier | Type | State | Issuer |
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1801556691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Mona L Williams Gregory |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336244227 PECOS PAC ID: 9133213457 Enrollment ID: I20070918000257 |
Provider Name | Abdallah Riyad Ragab |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356931968 PECOS PAC ID: 5991112906 Enrollment ID: I20210318000376 |
Provider Name | Alexis Kim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861908063 PECOS PAC ID: 7719331289 Enrollment ID: I20231003000139 |
Careconnectmd New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2564 Us Highway 1, Lawrence, NJ 08648 Phone: 888-789-9585 |