Bridgecare Provider Group LLC
Nurse Practitioner, Primary Care in Wayne, New Jersey
1164148672- Practice location
- 493 Black Oak Ridge RD, Wayne, NJ 07470-6501
- Phone
- 973-692-9500
- Fax
- —
- Last updated
- October 17, 2022
Bridgecare Provider Group LLC is a healthcare organization based in Wayne, NJ. Bridgecare Provider Group LLC practices in Wayne, NJ. The NPI Number for Bridgecare Provider Group LLC is 1164148672. The current practice location address for Bridgecare Provider Group LLC is 493 Black Oak Ridge RD, Wayne, NJ 07470-6501 and can be reached out via phone at 973-692-9500.
Provider Profile Details
- NPI Number
- 1164148672
- Provider Name
- Bridgecare Provider Group LLC
- Provider Entity Type
- Organization
- Address
- 493 Black Oak Ridge RD, Wayne, NJ 07470-6501
- Phone Number
- 973-692-9500
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Iyad Baker · Owner · 201-596-6262
- Provider Enumeration Date
- October 17, 2022
- Last Update Date
- October 17, 2022
- Certification Date
- October 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 493 Black Oak Ridge RD
Wayne, NJ 07470-6501 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-6501
- Phone Number
- 973-692-9500
Provider Business Mailing Address Details
- Address
- 173 Bridge Plz N
Fort Lee, NJ 07024-7575 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-7575
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Psychologist, Adult Development & Aging · 103TA0700X
- Taxonomy (3)
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bridgecare Provider Group LLC?
The NPI number of Bridgecare Provider Group LLC is 1164148672. It was assigned on October 17, 2022 and is currently active in the NPPES registry.
What is the specialty of Bridgecare Provider Group LLC?
Bridgecare Provider Group LLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).
Where does Bridgecare Provider Group LLC practice?
The practice location is 493 Black Oak Ridge RD, Wayne, NJ 07470-6501. The office can be reached at 973-692-9500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164148672 directly on the NPPES registry website.