Bright Future Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA061936 Issued in NJ

Legal business name

BRIGHT FUTURE PEDIATRICS

Practice address

86 S Harrison St
East Orange, NJ 07018-1704

Phone

(973) 414-1886

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Van Martin-Yeboah

Title

Owner

Phone

(973) 414-1886

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Edwina Verner, MD

  • Pediatric Adolescent Medicine Physician
  • East Orange, NJ
  • NPI 1457303919
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1770538654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3155",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070193155",
            "telephone_number": "973-414-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181704",
            "telephone_number": "973-414-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN-YEBOAH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-414-1886",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA061936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6529402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Bravo
• Edward Brazaitis Sr., MD
• Michele M Brennan, RD,CDE
• Bridgewalk Solutions LLC
• Shadell Briggs, DOULA
• Bright Path Wellness Center LLC
• Brookhaven Center for Rehabilitation and Healthcare LLC
• Brookhaven Health Care Center
• Imoni Brooks
• Tristan Brooks

• Pediatrics Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.