Newbridge Services, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Wanaque, NJ
NPI 1053667584 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1053667584
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 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
- Organization subpart
- No
Authorized official
- Name
- Michelle Borden, LCSW
- Title
- Chief Executive Officer
- Phone
- (973) 686-2225
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 8
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Newbridge Services
Locations
7 Industrial Rd
Pequannock, NJ 07440
Phone (973) 686-2227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 30304-12-04 | NJ | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053667584 | Medicaid | NJ | |
| 7679700 | Medicaid | NJ |
Other providers in Wanaque, NJ
- Andrew Kunish Jr.
- Lakeland Regional High School
- Kendall Paige Lomascola
- Kristen Ann Milazzo
- Katherine Elizabeth Moore
- Newbridge Services, Inc.
- Newbridge Services, Inc.
- Sabrina Qanaah
- Anthony Romeo
- Shippees Pharmacy Inc
All providers in Wanaque, NJ · Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.