Bridgewater Center for Rehabilitation & Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRIDGEWATER CENTER FOR REHABILITATION & NURSING LLC

Practice address

159-163 Front Street
Binghamton, NY 13905-3103

Phone

(607) 722-7225

Fax

(607) 722-0061

NPI assigned

Jul 18, 2006

Last updated

Nov 9, 2015By 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

Mr. Jack Augenstein

Title

Cfo

Phone

(845) 371-8100

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457379018. Details of each certification follow.

• CCN 335228 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335228

Legal name

BRIDGEWATER CENTER FOR REHABILITATION & NURSING LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 5, 1967

Last certification

Feb 25, 2025

Beds

356

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Upstate Services Group

Organization structure

LLCProprietary

Incorporated

Jan 28, 2005 in NY

Enrollment address

159 Front St 163
Binghamton, NY 13905-3103

Nursing home name

BRIDGEWATER CENTER FOR REHAB & NURSING L L C

Affiliated entity

UPSTATE SERVICES GROUP

Listed as

Bridgewater Center for Rehab & Nursing L L CCCN 335228 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 5, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

356348.3 residents per day on average

Chain

Upstate Services Group17 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madhukar Bhoomireddi, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Binghamton, NY
  • NPI 1225069446
  NPD (past)
• Aasiya Haroon, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Johnson City, NY
  • NPI 1750737086
  NPD (past)
• Felix Osabohien Oduwa

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1265527493
  NPD (past)
• Marianne Soden, D.O.

  • Internal Medicine Physician
  • Johnson City, NY
  • NPI 1366416521
  NPD (past)
• Tricia Poblete Mendoza, M.D.

  • Geriatric Psychiatry Physician
  • Portsmouth, NH
  • NPI 1568648897
  NPD (past)
• Jirpesh Raojibhai Patel, M.D.

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1669586319
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Aasiya Haroon, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Johnson City, NY
  • NPI 1750737086

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1457379018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CENTER DRIVE",
            "address_2": "SUITE #325",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773740",
            "telephone_number": "845-371-8100",
            "fax_number": "845-371-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159-163 FRONT STREET",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053103",
            "telephone_number": "607-722-7225",
            "fax_number": "607-722-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER CENTER FOR REHABILITATION & NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "AUGENSTEIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-371-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0301308N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Brendle, LCAT
• Kimberly Ann Brennan
• Melissa A Brennan, FNP
• Diane Lucille Brenner, LPN
• Bridge Therapy
• Bridgewater CFD, LLC
• Sarah Mary Bridgman, PH.D.
• Eleanor Briggs, PMHNP-BC
• Kraig Brigham III
• Sean J. Britton, NRP

• Skilled Nursing Facility in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.