Brick Psychiatric Services Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06739300 Issued in NJ

Legal business name

BRICK PSYCHIATRIC SERVICES INC

Practice address

2640 Highway 70 Ste 12-201
Manasquan, NJ 08736-2612

Phone

(732) 202-0622

Fax

(732) 202-0620

NPI assigned

Aug 16, 2006

Last updated

Aug 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sabira Rajput, MD

Title

President

Phone

(732) 202-0622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 9

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.

• Suzanne Elizabeth Floyd, APN, C

  • Psychiatric/Mental Health Nurse Practitioner
  • Manasquan, NJ
  • NPI 1215192877
  Medicare reassignment Care Compare group NPD
• Peter John Litwin, MD

  • Psychiatry Physician
  • Red Bank, NJ
  • NPI 1154452712
  Medicare reassignment Care Compare group
• Christina Tallone, PA-C

  • Physician Assistant
  • Howell, NJ
  • NPI 1720748916
  Medicare reassignment Care Compare group
• Amy Marie Derrick, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Manasquan, NJ
  • NPI 1174281513
  Medicare reassignment NPD
• Zain U Memon, MD

  • Psychiatry Physician
  • Chatham, NJ
  • NPI 1104320522
  Medicare reassignment NPD
• Bolanle Popoola, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NJ
  • NPI 1952711194
  Medicare reassignment NPD
• Jamie Austin Pacilio, PA-C

  • Physician Assistant
  • Red Bank, NJ
  • NPI 1295376473
  Medicare reassignment
• Connor Stimpson

  • Physician Assistant
  • Newark, NJ
  • NPI 1154970036
  Medicare reassignment
• Christopher Whitehead, PA

  • Physician Assistant
  • Brick, NJ
  • NPI 1255861589
  Medicare reassignment

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1992818777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70 STE 12-201",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362612",
            "telephone_number": "732-202-0622",
            "fax_number": "732-202-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70 STE 12-201",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362612",
            "telephone_number": "732-202-0622",
            "fax_number": "732-202-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "RAJPUT",
        "authorized_official_first_name": "SABIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-202-0622",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06739300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Borab, M.D.
• Jillian Bowden, OTR/L
• Mallory Bradley
• Rachel Brandeis Feldman, LCSW
• Anthony Joseph Brando, DPM
• Brick Women's Physicians
• Doreen Bridgman
• Brielle Obstetrics & Gynecology, PA
• Mary Beth Browne, M.D.
• Johnnie Alfonso Bryant, LCSW

• Psychiatry Physician in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.