Organization Active NPI

New You Radiense LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Deptford, NJ
National Provider Identifier
1255110805
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW YOU RADIENSE LLC
Practice address
877 Kings Hwy Ste 101
West Deptford, NJ 08096-3167
Phone
(856) 366-0100
NPI assigned
Sep 25, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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
Owner
Phone
(732) 948-6718

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

877 Kings Hwy Ste 101
West Deptford, NJ 08096-3167

Mailing address

PO Box 8755
Turnersville, NJ 08012-8755

Other practice location 1

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

Other practice location 2

238 Main St Ste 109
Hackensack, NJ 07601-7318
Phone (856) 366-0100

National Provider Directory

National Provider Directory

Locations

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

121 Johnson Rd
Ste 5
Turnersville, NJ 08012
Phone (856) 373-5370

877 Kings Hwy
Ste 101
West Deptford, NJ 08096
Phone (856) 366-0100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1255110805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8755",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080128755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 KINGS HWY STE 101",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963167",
            "telephone_number": "856-366-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 S Church St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080572773",
            "country_code": "US",
            "telephone_number": "856-724-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Main St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076017318",
            "country_code": "US",
            "telephone_number": "856-366-0100",
            "fax_number": "201-648-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YOU RADIENSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "CARREA",
        "authorized_official_first_name": "BRYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-948-6718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.