Brow House Studio LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BROW HOUSE STUDIO LLC

Practice address

2 W Northfield Rd Ste 212
Livingston, NJ 07039-3758

Phone

(973) 629-7797

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Tatiane Nichols

Title

Owner

Phone

(973) 629-7797

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1922715010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TANGLEWOOD DR",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD STE 212",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393758",
            "telephone_number": "973-629-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROW HOUSE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "TATIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-629-7797"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@browhouse.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 W Northfield Rd Ste 212",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070393758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jessica Lynn Brown, PA-C
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• Sharifa Brown
• Marc David Bruckner, DPM

• Clinic/Center in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.