Bridgewater Health Associates

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

BRIDGEWATER HEALTH ASSOCIATES

Doing business as

Medi-Weightloss of Green Brook

Practice address

326 US Highway 22 Ste 10B
Green Brook, NJ 08812-1713

Phone

(732) 624-9797

Fax

(732) 624-9798

NPI assigned

Feb 4, 2019

Last updated

Feb 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Greenstein

Title

Director

Phone

(732) 624-9797

Specialties & licenses 1

Addresses

Other names 1

• Medi-Weightloss of Green Brook Doing business as

Practitioners 1

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.

• Cassandra Lee Konecny, NP

  • Nurse Practitioner
  • Green Brook, NJ
  • NPI 1881243665

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1255896254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 US HIGHWAY 22 STE 10B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121713",
            "telephone_number": "732-624-9797",
            "fax_number": "732-624-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 US HIGHWAY 22 STE 10B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121713",
            "telephone_number": "732-624-9797",
            "fax_number": "732-624-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-624-9797"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss of Green Brook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Elizabeth Barroqueiro, PA-C
• Ronald Bass
• Catherine Binder, OT
• Kathleen Boniakowski
• Henry Borrelli, DPM
• Bridgewater-Greenbrook Dental L.L.P
• Rena L Britland, LCSW
• Clair Carragino, APN-C
• David A Carrieri, DO
• Center for Counseling and Mindful Living, LLC

• Obesity Medicine (Preventive Medicine) Physician in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Obesity Medicine (Preventive Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.