NPIMap

Organization Active NPI

Bridge Health PLLC

  • Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1194574285
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BRIDGE HEALTH PLLC
Practice address
20 E Sunrise Hwy FL 2
Valley Stream, NY 11581-1260
Phone
(516) 543-6249
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Daniel Novick, MDNPI 1265829527
Title
Owner
Phone
(516) 543-6249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

20 E Sunrise Hwy FL 2
Valley Stream, NY 11581-1260

Mailing address

20 E Sunrise Hwy FL 2
Valley Stream, NY 11581-1260
Phone (516) 543-6249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH, ME, MA, VT5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20240806000283 CT Part B Supplier - Clinic/Group Practice 3577000728 Receives reassigned benefits from 29 practitioners
Practice locations: Norwalk, CT
O20240927001907 NH Part B Supplier - Clinic/Group Practice 3577000728 Receives reassigned benefits from 8 practitioners
Practice locations: Dover, NH
O20241015000922 ME Part B Supplier - Clinic/Group Practice 3577000728 Receives reassigned benefits from 8 practitioners
Practice locations: Augusta, ME
O20250320002206 MA Part B Supplier - Clinic/Group Practice 3577000728 Receives reassigned benefits from 8 practitioners
Practice locations: Marlborough, MA
O20250731000185 VT Part B Supplier - Clinic/Group Practice 3577000728 Receives reassigned benefits from 4 practitioners
Practice locations: Brattleboro, VT

National Provider Directory

National Provider Directory

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

323 State St
Ste 5
Augusta, ME 04330
Phone (207) 370-6470

370 Portland St
Ste 5
Yarmouth, ME 04096

15 W South Temple
Fl 2
Salt Lake City, UT 84101
Phone (516) 543-6249

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1194574285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E SUNRISE HWY FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811260",
            "telephone_number": "516-543-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E SUNRISE HWY FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811260",
            "telephone_number": "516-543-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-543-6249",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.