NPIMap

Organization Active NPI

Bridgeway Care at Home, LLC

  • Geriatric Physical Therapist
  • Bridgewater, NJ
National Provider Identifier
1104383421
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
BRIDGEWAY CARE AT HOME, LLC
Practice address
270 Route 28
Bridgewater, NJ 08807-1919
Phone
(908) 722-7022
Fax
(908) 725-1822
NPI assigned
Feb 22, 2019
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Donny Pelligrino
Title
Director
Phone
(908) 722-7022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

270 Route 28
Bridgewater, NJ 08807-1919

Mailing address

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

Other practice location 1

565 Route 28
Bridgewater, NJ 08807-2461
Phone (908) 707-8800

Other practice location 2

393 Amwell Rd
Hillsborough, NJ 08844-1249
Phone (908) 874-7283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424001051 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406198373 Receives reassigned benefits from 80 practitioners
Practice locations: Bridgewater, NJ; Hillsborough, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1104383421",
    "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": "088071919",
            "telephone_number": "908-722-7022",
            "fax_number": "908-725-1822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Route 28",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072461",
            "country_code": "US",
            "telephone_number": "908-707-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 Amwell Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088441249",
            "country_code": "US",
            "telephone_number": "908-874-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEWAY CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "PELLIGRINO",
        "authorized_official_first_name": "DONNY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-722-7022"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.