NPIMap

Organization Active NPI

Newbridge Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wanaque, NJ
National Provider Identifier
1053667584
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEWBRIDGE SERVICES, INC
Practice address
1069 Ringwood Ave Ste 202
Wanaque, NJ 07420
Phone
(973) 831-0613
Fax
(973) 831-0957
NPI assigned
Aug 2, 2012
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Borden, LCSW
Title
Chief Executive Officer
Phone
(973) 686-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 30304-12-04 NJ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1069 Ringwood Ave Ste 202
Wanaque, NJ 07420

Mailing address

620 Newark Pompton Tpke Ste 1
Pompton Plains, NJ 07444-1792
Phone (973) 839-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001352 NJ Part B Supplier - Clinic/Group Practice 3072598978 Receives reassigned benefits from 14 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sparta, NJ; Pompton Plains, NJ; Pompton Lakes, NJ; Pequannock, NJ; Haskell, NJ; Flanders, NJ; Boonton, NJ; Parsippany, NJ

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Newbridge Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1069 Ringwood Ave
Ste 202
Haskell, NJ 07420
Phone (973) 628-8530

1069 Ringwood Ave
Ste 301
Haskell, NJ 07420
Phone (973) 777-5335

7 Industrial Rd
Pequannock, NJ 07440
Phone (973) 686-2227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1053667584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NEWARK POMPTON TPKE STE 1",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441792",
            "telephone_number": "973-839-2520",
            "fax_number": "973-686-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 RINGWOOD AVE STE 202",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "07420",
            "telephone_number": "973-831-0613",
            "fax_number": "973-831-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-686-2225",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "30304-12-04",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wanaque, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.