BRIDGECARE PROVIDER GROUP LLC; NPI #1164148672

Contact Information

BRIDGECARE PROVIDER GROUP LLC

493 BLACK OAK RIDGE RD
WAYNE, NJ 07470-6501

Phone: 973-692-9500
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Adult Development & Aging	103TA0700X	62	Psychologist, Clinical
Clinical	1041C0700X	80	Licensed Clinical Social Worker

Indicates primary specialty

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NPI Profile & details for BRIDGECARE PROVIDER GROUP LLC

NPI Number	`1164148672`
LBN Legal business name	BRIDGECARE PROVIDER GROUP LLC
Authorized official	IYAD BAKER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/17/2022
Last updated	10/17/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRIDGECARE PROVIDER GROUP LLC

Contact Information

Specialty

Primary Care

Adult Development & Aging

Clinical

NPI Profile & details for BRIDGECARE PROVIDER GROUP LLC

Reviews for BRIDGECARE PROVIDER GROUP LLC