Healthcare Provider Details

I. General information

NPI: 1295663375
Provider Name (Legal Business Name): BRIGHTPATH PRIMARY & PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 PARK AVE STE 101
SOUTH PLAINFIELD NJ
07080-5530
US

IV. Provider business mailing address

1204 MARGARET CT
SOUTH PLAINFIELD NJ
07080-2363
US

V. Phone/Fax

Practice location:
  • Phone: 732-215-3208
  • Fax:
Mailing address:
  • Phone: 732-215-3208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GRACE N NJUGUNA BACHIA
Title or Position: APN
Credential: FNP-C
Phone: 732-215-3208