Healthcare Provider Details

I. General information

NPI: 1639074818
Provider Name (Legal Business Name): BEE MEEK PSYCHIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

586 WOODSIDE AVE
ROSELLE NJ
07203-2934
US

IV. Provider business mailing address

586 WOODSIDE AVE
ROSELLE NJ
07203-2934
US

V. Phone/Fax

Practice location:
  • Phone: 908-606-8434
  • Fax: 908-520-4325
Mailing address:
  • Phone: 908-606-8434
  • Fax: 908-520-4325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: BENNETH MEKOBA
Title or Position: APN
Credential:
Phone: 908-606-8434