Individual provider Active NPI

Bridgitte Angeline Deyro, LCSW

  • Clinical Social Worker
  • Vauxhall, NJ
National Provider Identifier
1760256754
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05934900 Issued in NJ
Practice address
2041 Springfield Ave
Vauxhall, NJ 07088-1220
Phone
(908) 258-7796
Fax
(908) 258-7796
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05934900 NJ Primary

Addresses

Primary practice location

2041 Springfield Ave
Vauxhall, NJ 07088-1220

Mailing address

602 Deepdale CT Unit 9
Union, NJ 07083-8784
Phone (908) 906-1935

Other names 1

  • Bridgitte Angeline Rueda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05934900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Owen Health Care, Inc CurrentSince Nov 1, 2024 Accepting new patients
Owen Health Care, Inc Current Accepting new patients

Locations

2041 Springfield Ave
Vauxhall, NJ 07088
Phone (908) 258-7796

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1760256754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 DEEPDALE CT UNIT 9",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838784",
            "telephone_number": "908-906-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 SPRINGFIELD AVE",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881220",
            "telephone_number": "908-258-7796",
            "fax_number": "908-258-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYRO",
        "first_name": "BRIDGITTE",
        "middle_name": "ANGELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05934900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGITTE",
            "last_name": "RUEDA",
            "middle_name": "ANGELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vauxhall, NJ

Sources for this page

Verify at the official NPI Registry.