MEDICARE: BRIDGECARE ABA NJ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1043907132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGECARE ABA NJ LLC

Provider Business Mailing Address
First Line	:	3600 STATE ROUTE 66 STE 150
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	201-676-2579
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 STATE ROUTE 66 STE 150
Second Line	:
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-2645
Country	:	US
Telephone Number	:	201-676-2579
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ALAN HOLLANDER
Credential	:
Telephone Number	:	201-676-2579

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	03/10/2026

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