Bridgecare Provider Group Llc

LBN: Bridgecare Provider Group Llc
Bridgecare Provider Group Llc is an health care organization with primary practice located at 493 Black Oak Ridge Rd , Wayne NJ 07470-6501. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Bridgecare Provider Group Llc can be contacted via phone (973) 692-9500, or through Baker, Iyad via phone (201) 596-6262.

Contact Information

Primary practice address
493 Black Oak Ridge Rd Wayne NJ 07470-6501
Phone: (973) 692-9500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baker, Iyad
Phone: (201) 596-6262

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1164148672
LBN Legal business name Bridgecare Provider Group Llc
DBA Doing business as
Authorized official Baker, Iyad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2022
Last updated Oct 17th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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