Brandywine Assisted Living at Middlebrook Crossing

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

80A004 Issued in NJ

Legal business name

BRANDYWINE ASSISTED LIVING AT MIDDLEBROOK CROSSING

Practice address

2005 Route 22 West
Bridgewater, NJ 08807

Phone

(732) 868-8181

Fax

(732) 868-8178

NPI assigned

Feb 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa B Linteau

Title

Contract Manager

Phone

(908) 686-3233

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255474250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ROUTE 22 WEST",
            "address_2": "PO BOX 6100",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "732-868-8181",
            "fax_number": "732-868-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ROUTE 22 WEST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "732-868-8181",
            "fax_number": "732-868-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE ASSISTED LIVING AT MIDDLEBROOK CROSSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINTEAU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "908-686-3233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "80A004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8131007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Bowman
• Nina Boyd, LPC
• John Michael Boyle, DMD
• Annmarie Brady
• Zachary Brady
• Martina Brawley
• Alexis J Brewer, PA-C
• Bridgewater Ambulatory Surgery Center, LLC
• Bridgewater Assisted Living Venture, LLC (The Chelsea at Bridgewater)
• Bridgewater Dental Associates, PC

• Assisted Living Facility in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.