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BARAKA PSYCHIATRIC HEALTHCARE LLC
NPI 1114881372
Nurse Practitioner - Psychiatric/Mental Health in Mountainside, NJ

Active since December 12, 2025
1199 US HIGHWAY 22, MOUNTAINSIDE, NJ 07092(973) 534-2734(908) 398-2660 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Baraka Psychiatric Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARAKA PSYCHIATRIC HEALTHCARE LLC (NPI 1114881372) is a healthcare organization registered as a psychiatric/mental health in Mountainside, New Jersey and active in the NPI registry since December 2025. The organization lists Fanta Mian, Apn/owner, as its authorized official.

NPPES Registry Identity

NPI1114881372
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBARAKA PSYCHIATRIC HEALTHCARE LLC
Location Address1199 US HIGHWAY 22Mountainside, NJ 07092-2807
Mailing Address2552 Standish AveUnion, NJ 07083-4939 · (973) 534-2734 · Fax (908) 398-2660
Phone(973) 534-2734
Fax(908) 398-2660
Organization SubpartNo
Authorized OfficialFanta MianApn/owner · (973) 534-2734
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1114881372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1199 US HIGHWAY 22, Mountainside, NJ 07092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baraka Psychiatric Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Baraka Psychiatric Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fanta Mian
Nurse Practitioner
NPI 1477216224
25 E SALEM ST
Hackensack, NJ 07601
(973) 534-2734
✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baraka Psychiatric Healthcare LLC's NPI number?

The NPI number for Baraka Psychiatric Healthcare LLC is 1114881372. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Baraka Psychiatric Healthcare LLC located?

Baraka Psychiatric Healthcare LLC is located at 1199 Us Highway 22, Mountainside, NJ 07092. The listed phone number is (973) 534-2734.

What is Baraka Psychiatric Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Baraka Psychiatric Healthcare LLC enrolled in Medicare?

Yes. Baraka Psychiatric Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baraka Psychiatric Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Baraka Psychiatric Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Baraka Psychiatric Healthcare LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.