BRIDGECARE PROVIDER GROUP LLC NPI 1164148672

NPI Information

  • NPI: 1164148672
  • Provider Name: BRIDGECARE PROVIDER GROUP LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 493 BLACK OAK RIDGE RD
    WAYNE, NJ
    ZIP 07470
  • Phone: (973) 692-9500

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NPI Details

BRIDGECARE PROVIDER GROUP LLC is a primary care nurse practitioner in Wayne, NJ. BRIDGECARE PROVIDER GROUP LLC NPI is 1164148672. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

493 BLACK OAK RIDGE RD
WAYNE, NJ
ZIP 07470-501
Phone: (973) 692-9500

The provider's authorized official is Iyad Baker .
The authorized official title is Owner and has the following contact phone number (201) 596-6262.

The enumeration date for this NPI number is 10/17/2022 and was last updated on 10/17/2022.

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
11041C0700XSocial WorkerClinicalNo
2103TA0700XPsychologistAdult Development & AgingNo
3363LP2300XNurse PractitionerPrimary CareYes

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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