NPIMap

Organization Active NPI

Bridgewater Medical Group

  • Multi-Specialty Clinic/Center
  • Bridgewater, NJ
National Provider Identifier
1821031568
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRIDGEWATER MEDICAL GROUP
Practice address
766 US Highway 202/206 North
Suite 1
Bridgewater, NJ 08807-1773
Phone
(908) 722-0808
Fax
(908) 722-3415
NPI assigned
Jun 13, 2006
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Robert H Lustig, D.O.NPI 1457394652
Title
President
Phone
(908) 722-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

766 US Highway 202/206 North
Suite 1
Bridgewater, NJ 08807-1773

Mailing address

766 US Highway 202/206
Suite 1
Bridgewater, NJ 08807-1777
Phone (908) 722-0808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1821031568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 US HIGHWAY 202/206",
            "address_2": "SUITE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071777",
            "telephone_number": "908-722-0808",
            "fax_number": "908-722-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 US HIGHWAY 202/206 NORTH",
            "address_2": "SUITE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-722-0808",
            "fax_number": "908-722-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-722-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.