Organization Active NPI

Nu'Yu Radiense, LLC

  • Primary Care Clinic/Center
  • Moorestown, NJ
National Provider Identifier
1033789789
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NU'YU RADIENSE, LLC
Practice address
285 S Church St Ste 5
Moorestown, NJ 08057-2773
Phone
(856) 724-1900
Fax
(856) 494-1314
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Dr. Bryana Carrea, APNNPI 1457773640
Title
Nurse Practitioner
Phone
(856) 373-5370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

285 S Church St Ste 5
Moorestown, NJ 08057-2773

Mailing address

285 S Church St Ste 5
Moorestown, NJ 08057-2773
Phone (856) 724-1900

Other identifiers 1

IdentifierTypeStateIssuer
1457773640MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kareo.com

National Provider Directory

National Provider Directory

Locations

285 S Church St
Ste 5
Moorestown, NJ 08057
Phone (856) 655-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1033789789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST STE 5",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-724-1900",
            "fax_number": "856-494-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST STE 5",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-724-1900",
            "fax_number": "856-494-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU'YU RADIENSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "CARREA",
        "authorized_official_first_name": "BRYANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "856-373-5370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457773640",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo.com",
            "affiliation": "N",
            "address_1": "285 S Church St Ste 5",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080572773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.