NPIMap

Organization Active NPI

Brightside Medical of New Jersey, P.C.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1811524754
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHTSIDE MEDICAL OF NEW JERSEY, P.C.
Practice address
5214F Diamond Heights Blvd # 345
San Francisco, CA 94131-2175
Phone
(415) 360-3348
NPI assigned
Mar 23, 2020
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Daniel Karlin, MDNPI 1942434311
Title
President
Phone
(917) 699-6564

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5214F Diamond Heights Blvd # 345
San Francisco, CA 94131-2175

Mailing address

2261 Market St Ste 10222
San Francisco, CA 94114-1612
Phone (415) 360-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230517000302 NC Part B Supplier - Clinic/Group Practice 5799141750 Receives reassigned benefits from 110 practitioners
Practice locations: Raleigh, NC
O20230817001530 NJ Part B Supplier - Clinic/Group Practice 5799141750 Receives reassigned benefits from 12 practitioners
Practice locations: Pittsgrove, NJ; Oakland, NJ; Newark, NJ; Lakewood, NJ; Mount Laurel, NJ; Hoboken, NJ; Mount Holly, NJ; Branchburg, NJ…
O20230912000663 MA Part B Supplier - Clinic/Group Practice 5799141750 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

159 Frontage Rd
Manchester, NH 03103
Phone (833) 888-0061

Practitioners & affiliated clinicians

Practitioners 136

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.

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1811524754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST STE 10222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "415-360-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214F DIAMOND HEIGHTS BLVD # 345",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312175",
            "telephone_number": "415-360-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE MEDICAL OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "KARLIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-699-6564",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.