MEDICARE: BRIDGET LANE

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	235Z00000X	Speech-Language Pathologist	41YS00650100	NJ

General Provider Information

NPI Number	:	1346532538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET LANE

Provider Business Mailing Address
First Line	:	45 RIVER DR S APT 2109
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-3725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 RIVER DR SO. APT. 2109
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310
Country	:	US
Telephone Number	:	201-386-0949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2011
Last Update Date	:	05/06/2011

Similar Medicare Providers

1285563965 — Z&Z MENTAL HEALTH AND WELLNESS LLC
Practice Location Address:

111 TOWN SQUARE PL STE 472345
JERSEY CITY, NJ
07310-1755

Practice Phone: 732-977-9005
Practice Fax:

1588928600 — HILARY KROSNEY-REDIKER LPC, LCADC
Practice Location Address:

111 TOWN SQUARE PL STE 1238
JERSEY CITY, NJ
07310-1810

Practice Phone: 732-455-2629
Practice Fax:

1821926817 — CURA ABA LLC
Practice Location Address:

111 TOWN SQUARE PL STE 1201
JERSEY CITY, NJ
07310-1724

Practice Phone: 201-378-3942
Practice Fax:

1235115312 — DR. RONAK N CHINAI M.D.
Practice Location Address:

610 WASHINGTON BLVD , 1ST FLOOR NEWPORT LIBERTY MEDICAL
JERSEY CITY, NJ
07310

Practice Phone: 201-222-1266
Practice Fax: 201-626-4548

1952376543 — DR. CHRISTOPHER DAVID MOORE O.D.
Practice Location Address:

30 MALL DR W # 103A
JERSEY CITY, NJ
07310-1615

Practice Phone: 201-420-9471
Practice Fax: 201-420-9923

1952370736 — DR. DANIELLE J SCHEHR-KIMBLE DO
Practice Location Address:

111 TOWN SQUARE PL , SUITE 1238, PMB# 323793
JERSEY CITY, NJ
07310-1810

Practice Phone: 646-902-1741
Practice Fax: 646-889-8396

1215987888 — DR. FRANK DERIENZO OD
Practice Location Address:

123 RIVER DRIVE
JERSEY CITY, NJ
07310-1615

Practice Phone: 201-222-3937
Practice Fax: 201-798-6021

Directions to “ BRIDGET LANE ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.