BRIDGEWAY BEHAVIORAL HEALTH SERVICES NPI 1164123105

NPI Information

  • NPI: 1164123105
  • Provider Name: BRIDGEWAY BEHAVIORAL HEALTH SERVICES
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • :
  • Address: 373 CLERMONT TER
    UNION, NJ
    ZIP 07083
  • Phone: (908) 355-7886

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NPI Details

BRIDGEWAY BEHAVIORAL HEALTH SERVICES is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Union, NJ. BRIDGEWAY BEHAVIORAL HEALTH SERVICES NPI is 1164123105. The provider is registered as an organization entity type and is a single specialty group.
The provider .

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 Mohsan Jan .
The authorized official title is Director Of Billing & Reimbursement and has the following contact phone number (908) 355-7886.

The enumeration date for this NPI number is 3/16/2023 and was last updated on 3/4/2025.

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
1103TR0400XPsychologistRehabilitationNo
2261QR0401XClinic/CenterRehabilitation, 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
10403873MEDICAIDNEW 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: 11/21/2025

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