| Brain Ways Llc | |
|
13 Harris Ct Lawrence NJ 08648-2625 | |
| (609) 815-5618 | |
| Not Available |
| Full Name | Brain Ways Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 10/15/2024 |
| Medicare PECOS PAC ID | 6103219985 |
|---|---|
| Medicare Enrollment ID | O20220201000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801556691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mona Williams Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336244227 PECOS PAC ID: 9133213457 Enrollment ID: I20070918000257 |
| Provider Name | Natasha Carew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184757817 PECOS PAC ID: 6103995519 Enrollment ID: I20080527000140 |
| Provider Name | Abdallah Riyad Ragab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356931968 PECOS PAC ID: 5991112906 Enrollment ID: I20210318000376 |
| Provider Name | Alexis Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861908063 PECOS PAC ID: 7719331289 Enrollment ID: I20231003000139 |
| Provider Name | Evan Federici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598595159 PECOS PAC ID: 0446781363 Enrollment ID: I20241003000064 |
Diamond Touch Functional Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Brunswick Pike Ste 102, Lawrence, NJ 08648 Phone: 609-638-9156 |