BRIDGEWAY REHABILITATION SERVICES NPI 1164123105

NPI Information

NPI: 1164123105
Provider Name: BRIDGEWAY REHABILITATION SERVICES
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
373 CLERMONT TER
UNION, NJ
ZIP 07083
Phone: (908) 355-7886
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BRIDGEWAY REHABILITATION SERVICES is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Union, NJ. BRIDGEWAY REHABILITATION SERVICES NPI is 1164123105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

373 CLERMONT TER
UNION, NJ
ZIP 07083-073
Phone: (908) 355-7886

The provider's authorized official is Rosita Jimenez-hairston .
The authorized official title is Revenue Cycle Supervisor and has the following contact phone number (908) 469-6517.

The enumeration date for this NPI number is 3/16/2023 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TR0400X	Psychologist	Rehabilitation			No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0403873	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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