Organization Active NPI

Eastbridge Home Care

  • Home Health Agency
  • Fort Lee, NJ
National Provider Identifier
1619695814
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EASTBRIDGE HOME CARE
Practice address
2455 Lemoine Ave FL 2
Fort Lee, NJ 07024-6209
Phone
(201) 620-9994
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Nataliya Sydorhuk
Title
Payroll Manager
Phone
(732) 385-7996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2455 Lemoine Ave FL 2
Fort Lee, NJ 07024-6209

Mailing address

1 Bridge PLZ N Ste 675
Fort Lee, NJ 07024-7112
Phone (201) 620-9994

National Provider Directory

National Provider Directory

Locations

2455 Lemoine Ave
#2
Fort Lee, NJ 07024
Phone (201) 620-9994

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1619695814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 675",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247112",
            "telephone_number": "201-620-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 LEMOINE AVE FL 2",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246209",
            "telephone_number": "201-620-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTBRIDGE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "SYDORHUK",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_title_or_position": "PAYROLL MANAGER",
        "authorized_official_telephone_number": "732-385-7996"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.