NPIMap

Organization Active NPI

Bridgeway Behavioral Health Services

  • Case Management Agency
  • Elizabeth, NJ
National Provider Identifier
1184748535
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
204010310 Issued in NJ
Legal business name
BRIDGEWAY BEHAVIORAL HEALTH SERVICES
Practice address
615 N Broad St
Elizabeth, NJ 07208-3409
Phone
(908) 355-7886
Fax
(908) 355-6668
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Mr. Mohsan Jan
Title
Director of Billing & Reimbursement
Phone
(908) 355-7886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 204010310 NJ Primary
Community/Behavioral Health Agency 251S00000X 204011310 NJ

Addresses

Primary practice location

615 N Broad St
Elizabeth, NJ 07208-3409

Mailing address

373 Clermont Ter
Union, NJ 07083-8073
Phone (908) 355-7886

Other identifiers 1

IdentifierTypeStateIssuer
8819009MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Bridgeway Behavioral Health Services21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1184748535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 CLERMONT TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838073",
            "telephone_number": "908-355-7886",
            "fax_number": "908-248-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083409",
            "telephone_number": "908-355-7886",
            "fax_number": "908-355-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "MOHSAN",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING & REIMBURSEMENT",
        "authorized_official_telephone_number": "908-355-7886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "204010310",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "204011310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8819009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.