Active NPIOrganization

Baraka Psychiatric Healthcare LLC

Nurse Practitioner, Psych/Mental Health in Mountainside, New Jersey

NPI Number1114881372
Practice location
1199 US Highway 22, Mountainside, NJ 07092-2807
Fax
908-398-2660
Last updated
December 12, 2025

Baraka Psychiatric Healthcare LLC is a healthcare organization based in Mountainside, NJ. Baraka Psychiatric Healthcare LLC practices in Mountainside, NJ. The NPI Number for Baraka Psychiatric Healthcare LLC is 1114881372. The current practice location address for Baraka Psychiatric Healthcare LLC is 1199 US Highway 22, Mountainside, NJ 07092-2807 and can be reached out via phone at 973-534-2734 and via fax at 908-398-2660.

Provider Profile Details

NPI Number
1114881372
Provider Name
Baraka Psychiatric Healthcare LLC
Provider Entity Type
Organization
Address
1199 US Highway 22, Mountainside, NJ 07092-2807
Phone Number
973-534-2734
Fax Number
908-398-2660
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Fanta Mian · Apn/Owner · 973-534-2734
Provider Enumeration Date
December 12, 2025
Last Update Date
December 12, 2025
Certification Date
December 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1199 US Highway 22
Mountainside, NJ 07092-2807
Zip
07092-2807
Phone Number
973-534-2734
Fax Number
908-398-2660
Mountainside, NJ 07092Get directions →

Provider Business Mailing Address Details

Address
2552 Standish Ave
Union, NJ 07083-4939
City
Union
State
NJ
Zip
07083-4939
Phone Number
973-534-2734
Fax Number
908-398-2660

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Baraka Psychiatric Healthcare LLC?

The NPI number of Baraka Psychiatric Healthcare LLC is 1114881372. It was assigned on December 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Baraka Psychiatric Healthcare LLC?

Baraka Psychiatric Healthcare LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Baraka Psychiatric Healthcare LLC practice?

The practice location is 1199 US Highway 22, Mountainside, NJ 07092-2807. The office can be reached at 973-534-2734 (phone) or 908-398-2660 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114881372 directly on the NPPES registry website.

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