Individual provider Active NPI

Bridgette V Mitchell, NP

  • Specialist
  • Englewood, NJ
National Provider Identifier
1972708659
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MM1564702 Issued in NJ
Practice address
350 Engle St
1St Floor Berrie Building
Englewood, NJ 07631-1808
Phone
(201) 568-5250
Fax
(201) 568-5096
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MM1564702 NJ Primary

Addresses

Primary practice location

350 Engle St
1St Floor Berrie Building
Englewood, NJ 07631-1808

Mailing address

350 Engle St
1St Floor Berrie Building
Englewood, NJ 07631-1808
Phone (201) 568-5250

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: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Harlem Council for Human Services Inc CurrentSince Jun 23, 2022 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Nov 26, 2017 Accepting new patients
East Harlem Council for Human Services Inc CurrentSince Jun 23, 2022 Accepting new patients
Heritage Health and Housing, Inc Past Accepting new patients
DRS. Forte, Schleider & Attas, PA Specialist PastSince Aug 25, 2008 Accepting new patients

Locations

350 Engle St
Bldg 1ST
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Fl 1
Englewood, NJ 07631
Phone (201) 568-5250

370 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 567-3370

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2265 3rd Ave
New York, NY 10035
Phone (212) 289-6650

Interoperability endpoints

  • Direct secure messaging: bmitchell236202@direct.englewoodhealth.org

Organizations & group practices 5

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1972708659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "1ST FLOOR BERRIE BUILDING",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-568-5250",
            "fax_number": "201-568-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "1ST FLOOR BERRIE BUILDING",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-568-5250",
            "fax_number": "201-568-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRIDGETTE",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MM1564702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.