NPIMap

Organization Active NPI

Bridgeway Rehabilitation Services

  • Case Management Agency
  • Elizabeth, NJ
National Provider Identifier
1699899351
Registry record updated Feb 9, 2017
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
70 West Grand Street
Elizabeth, NJ 07202-1205
Phone
(908) 469-6517
Fax
(908) 469-6519
NPI assigned
Mar 19, 2007
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Mr. Cory Storch
Title
Director
Phone
(908) 355-7886

Specialties & licenses 1

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

Addresses

Primary practice location

70 West Grand Street
Elizabeth, NJ 07202-1205

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
4547209MedicaidNJ

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

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1699899351",
    "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": "70 WEST GRAND STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021205",
            "telephone_number": "908-469-6517",
            "fax_number": "908-469-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "STORCH",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-355-7886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "204010248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4547209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.