Organization Active NPI

Brain Wellness MD LLC

  • Neurology Physician
  • Livingston, NJ
National Provider Identifier
1942041207
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BRAIN WELLNESS MD LLC
Practice address
22 Old Short Hills Rd Ste 106
Livingston, NJ 07039-5605
Phone
(267) 879-7706
Fax
(800) 557-3140
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Uri Napchan, MDNPI 1710045844
Title
Physician / Owner
Phone
(267) 879-7706

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X

Addresses

Primary practice location

22 Old Short Hills Rd Ste 106
Livingston, NJ 07039-5605

Mailing address

422 Morris Ave
Summit, NJ 07901-1522

Other practice location 1

77 N Hillside Ave
Livingston, NJ 07039-1109
Phone (267) 879-7706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241213002761 NJ Part B Supplier - Clinic/Group Practice 1850827841 Receives reassigned benefits from 1 practitioner
Practice locations: East Orange, NJ; Cedar Grove, NJ; Wayne, NJ; Union City, NJ; Rahway, NJ; Perth Amboy, NJ; Newark, NJ; North Bergen, NJ…

National Provider Directory

National Provider Directory

Locations

9020 Wall St
North Bergen, NJ 07047
Phone (201) 809-2900

303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540

865 Stone St
Fl 4
Rahway, NJ 07065
Phone (732) 453-2950

422 Morris Ave
Summit, NJ 07901

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1942041207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MORRIS AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 106",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "267-879-7706",
            "fax_number": "800-557-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 N Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070391109",
            "country_code": "US",
            "telephone_number": "267-879-7706",
            "fax_number": "800-557-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN WELLNESS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "NAPCHAN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "267-879-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.