NPIMap

Organization Active NPI

Bridgeway, Inc.

  • Skilled Nursing Facility
  • Bridgewater, NJ
National Provider Identifier
1063400794
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061811 Issued in NJ
Legal business name
BRIDGEWAY, INC.
Practice address
270 Route 28
Bridgewater, NJ 08807
Phone
(908) 722-7022
Fax
(908) 725-1822
NPI assigned
Oct 6, 2005
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Mr. Wayne F Blum, L.N.H.A
Title
Administrator
Phone
(908) 722-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061811 NJ Primary

Addresses

Primary practice location

270 Route 28
Bridgewater, NJ 08807

Mailing address

270 Route 28
Bridgewater, NJ 08807-1919
Phone (908) 722-7022

Other identifiers 4

IdentifierTypeStateIssuer
315182OtherNJHORIZON SNF PROVIDER #
0075906OtherNJRESPITE
4499204MedicaidNJ
001005OtherNJHORIZON SUBACUTE PROV #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030303000009 NJ Part A Provider - Skilled Nursing Facility 1254240658 Practice locations: Bridgewater, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063400794. Details of each certification follow.

Skilled nursing facility certification: CCN 315182

Legal name
BRIDGEWAY INC.
Doing business as
BRIDGEWAY CARE AND REHABILITATION CENTER AT BRIDGEWATER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 6, 1981
Last certification
Mar 31, 2025
Beds
151
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 13, 1978 in NJ
Enrollment address
270 Route 28
Bridgewater, NJ 08807-1919
Nursing home name
BRIDGEWAY CARE AND REHAB CENTER AT BRIDGEWATER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bridgeway Care and Rehab Center at BridgewaterCCN 315182 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 6, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
151142.8 residents per day on average
Penalties (3 years)
1Fines totaling $7,901

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott Royer Individual Operational/Managerial Control Sep 9, 2019
Adp of the SNF Sep 9, 2019
Rossana Manego Individual Operational/Managerial Control Aug 22, 2001
Individual Adp of the SNF Sep 1, 2016
Donald Pelligrino Individual 5% Or Greater Direct Ownership Interest Oct 9, 1991 9%
Corporate OfficerCeo Oct 9, 1991 9%

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1063400794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071919",
            "telephone_number": "908-722-7022",
            "fax_number": "908-725-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-722-7022",
            "fax_number": "908-725-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-722-7022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.N.H.A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON SNF PROVIDER #",
            "identifier": "315182",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE",
            "identifier": "0075906",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4499204",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON SUBACUTE PROV #",
            "identifier": "001005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.