Beacon Health and Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BEACON HEALTH AND WELLNESS LLC

Practice address

201 Montgomery St Ste 2
Jersey City, NJ 07302-5052

Phone

(201) 776-8610

NPI assigned

Jan 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick Ernesto Digenova, MD

Title

Founder

Phone

(201) 776-8610

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1033708698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062124",
            "telephone_number": "201-776-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MONTGOMERY ST STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025052",
            "telephone_number": "201-776-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "DIGENOVA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "201-776-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Corazon Mendoza Bayot, APN
• Lovely Bayron, PT
• Laura Bazile
• Laura Beach, LMFT
• Beacon Family Dental, P.a.
• Beacon Medical Supplies
• Beacon Star Pharma Inc
• Asmaa Beais
• Beam Orthodontics JC, PC
• Briana Beattie

• Psychiatry Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.