NPIMap

Organization Active NPI

Bridgeway Rehabilitation Services

  • Case Management Agency
  • Bloomfield, NJ
National Provider Identifier
1609268580
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
204010248 Issued in NJ
Legal business name
BRIDGEWAY REHABILITATION SERVICES
Practice address
554 Bloomfield Ave
Suite 201, 2ND Floor
Bloomfield, NJ 07003-3307
Phone
(908) 355-7886
Fax
(908) 355-6668
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Mrs. Rosita Jimenez-Hairston
Title
Revenue Cycle Manager
Phone
(908) 355-7886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 204010248 NJ Primary

Addresses

Primary practice location

554 Bloomfield Ave
Suite 201, 2ND Floor
Bloomfield, NJ 07003-3307

Mailing address

615 N Broad St
Elizabeth, NJ 07208-3409
Phone (908) 355-7886

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

554 Bloomfield Ave
Ste 201
Bloomfield, NJ 07003
Phone (908) 355-7886

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1609268580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083409",
            "telephone_number": "908-355-7886",
            "fax_number": "908-355-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BLOOMFIELD AVE",
            "address_2": "SUITE 201, 2ND FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033307",
            "telephone_number": "908-355-7886",
            "fax_number": "908-355-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-HAIRSTON",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "908-355-7886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "204010248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.