Organization Active NPI

Brain Ways LLC

  • Clinic/Center
  • Lawrence, NJ
National Provider Identifier
1801556691
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRAIN WAYS LLC
Practice address
13 Harris CT
Lawrence, NJ 08648-2625
Phone
(609) 815-5618
NPI assigned
Dec 21, 2021
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Abdallah Riyad RagabNPI 1356931968
Title
Ceo
Phone
(516) 505-7200

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

13 Harris CT
Lawrence, NJ 08648-2625

Mailing address

13 Harris CT
Lawrence, NJ 08648-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201000560 NJ Part B Supplier - Clinic/Group Practice 6103219985 Receives reassigned benefits from 7 practitioners
Practice locations: Hamilton, NJ; Paterson, NJ

National Provider Directory

National Provider Directory

Locations

1345 Kuser Rd
Ste 3
Hamilton, NJ 08619
Phone (973) 321-8326

764 Main St
Ste 403
Paterson, NJ 07503
Phone (609) 815-5618

Practitioners & affiliated clinicians

Practitioners 8

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": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1801556691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HARRIS CT",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086482625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HARRIS CT",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086482625",
            "telephone_number": "609-815-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN WAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "RAGAB",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_middle_name": "RIYAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-505-7200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.