Bridge Into the Future

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

BRIDGE INTO THE FUTURE

Practice address

911 Bergen Ave
Jersey City, NJ 07306-4317

Phone

(201) 360-3845

Fax

(201) 360-3847

NPI assigned

Jun 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Frank Louis Mattiace, PHD

Title

Director

Phone

(201) 436-1022

Specialties & licenses 1

Addresses

Other names 1

• New Pathway Counseling Doing business as

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1467773259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064317",
            "telephone_number": "201-360-3845",
            "fax_number": "201-360-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064317",
            "telephone_number": "201-360-3845",
            "fax_number": "201-360-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE INTO THE FUTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "MATTIACE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-436-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Pathway Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daryl Adrian Brandon
• Frederick Brandt
• Timothy S Brannan, MD
• Clare Brassil
• Brick Haus Physical Therapy PC
• Bridge to Health Acupuncture PC
• Bridge to Wellness Counseling
• Bridgeway Rehabilitation Services
• Bridgjay Corp
• Alice Briggs, PH.D.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.