Organization Active NPI

Bridge to Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edgewater, NJ
National Provider Identifier
1396289104
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
25MA08613000 Issued in NJ
Legal business name
BRIDGE TO WELLNESS
Practice address
4 Main St
Suite N
Edgewater, NJ 07020-1719
Phone
(917) 456-6544
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Aykut Ozden
Title
Partner
Phone
(917) 456-6544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 25MA08613000 NJ Primary

Addresses

Primary practice location

4 Main St
Suite N
Edgewater, NJ 07020-1719

Mailing address

4 Main St
Suite N
Edgewater, NJ 07020-1719
Phone (917) 456-6544

National Provider Directory

National Provider Directory

Locations

4 Main St
Ste N
Edgewater, NJ 07020
Phone (917) 456-6544

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1396289104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "address_2": "SUITE N",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201719",
            "telephone_number": "917-456-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "address_2": "SUITE N",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201719",
            "telephone_number": "917-456-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "OZDEN",
        "authorized_official_first_name": "AYKUT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-456-6544"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "25MA08613000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.