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NPI Code Detail

MEDICARE: BRIDGEWAY BEHAVIORAL HEALTH SERVICES

MEDICARE: BRIDGEWAY BEHAVIORAL HEALTH SERVICES
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1083037139
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGEWAY BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 373 CLERMONT TER
Second Line :
City : UNION
State : NJ
Zip : 07083-8073
Country : US
Telephone Number : 908-418-2379
Fax Number : 908-248-9376
Provider Business Practice Location Address
First Line : 506 3RD ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-1970
Country : US
Telephone Number : 908-355-7886
Fax Number : 908-248-9376
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : MR. FRED OLMSTED
Credential : MS, CADC
Telephone Number : 848-304-2436
Provider Enumeration Date : 01/27/2014
Last Update Date : 09/02/2025

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Directions to “BRIDGEWAY BEHAVIORAL HEALTH SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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