NPIMap

Organization Active NPI

Bridgeway Rehabilitation Services

  • Community/Behavioral Health Agency
  • Boonton, NJ
National Provider Identifier
1336960558
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGEWAY REHABILITATION SERVICES
Practice address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone
(732) 755-7078
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Kevin Malloy, MA, LPC, ACS
Title
Director
Phone
(732) 755-7078

Specialties & licenses 2

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

Addresses

Primary practice location

130 Powerville Rd
Boonton, NJ 07005-8705

Mailing address

282 E Main St
Somerville, NJ 08876-3006

Other practice location 1

1465 Route 31 S
Annandale, NJ 08801-3129
Phone (732) 755-7078

Other practice location 2

93 Stickles Pond Rd
Newton, NJ 07860-2813
Phone (732) 755-7078

Other practice location 3

11 W Church St
Washington, NJ 07882-2000
Phone (732) 755-7078

Other practice location 4

282 E Main St
Somerville, NJ 08876-3006
Phone (732) 755-7078

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

Locations

93 Stickles Pond Rd
Newton, NJ 07860
Phone (973) 383-8670

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1336960558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "732-755-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 Route 31 S",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "NJ",
            "postal_code": "088013129",
            "country_code": "US",
            "telephone_number": "732-755-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Stickles Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078602813",
            "country_code": "US",
            "telephone_number": "732-755-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 W Church St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NJ",
            "postal_code": "078822000",
            "country_code": "US",
            "telephone_number": "732-755-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "282 E Main St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088763006",
            "country_code": "US",
            "telephone_number": "732-755-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEWAY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-755-7078",
        "authorized_official_credential": "MA, LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.