Organization · NPI-2

Beaware Corp

Community/Behavioral Health · Brick, NJ

NPI number1720641004
StatusActive
Last updated in NPPESOct 26, 2026

Details

NPI
1720641004
Entity type
Organization (NPI-2)
Legal business name
Beaware Corp
Organization subpart
No
Enumeration date
Apr 22, 2019
Certification date
Oct 26, 2026
Last updated
Oct 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
2084P0800X Psychiatry & Neurology, Psychiatry––

Practice location

35 Beaverson Blvd Ste 2b
Brick, NJ 08723-7855

Phone 732-942-5056 · Fax 732-714-6908

Mailing address

35 Beaverson Blvd Ste 2b
Brick, NJ 08723-7855

Phone 732-942-5056 · Fax 732-714-6908

Authorized official

Tony Juneja
Chief Medical Officer
7329425056

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