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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
2251C00000XDevelopmentally Disabled Services Day Training Agency204010105NJ
3251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386781920
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 : 908-355-7886
Fax Number : 908-355-6668
Provider Business Practice Location Address
First Line : 373 CLERMONT TER
Second Line :
City : UNION
State : NJ
Zip : 07083-8073
Country : US
Telephone Number : 908-355-7200
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : MR. FRED OLMSTED
Credential : MS, CADC
Telephone Number : 848-304-2436
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/07/2025

Similar Medicare Providers

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Practice Location Address:
373 CLERMONT TER
UNION, NJ
07083-8073
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1164123105 — BRIDGEWAY BEHAVIORAL HEALTH SERVICES
Practice Location Address:
373 CLERMONT TER
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07083-8073
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Practice Fax:
1518652908 — MRS. JAZMARIE URENA
Practice Location Address:
373 CLERMONT TER
UNION, NJ
07083-8073
Practice Phone: 908-355-7886
Practice Fax:
1275212003 — MARQUIS CHANDLER LSW
Practice Location Address:
373 CLERMONT TER
UNION, NJ
07083-8073
Practice Phone: 551-200-8182
Practice Fax:
1336992445 — MELISSA FALCETANO MA, LAC
Practice Location Address:
373 CLERMONT TER
UNION, NJ
07083-8073
Practice Phone: 908-688-5400
Practice Fax: 973-860-5515

Directions to “BRIDGEWAY BEHAVIORAL HEALTH SERVICES ” Practice Location

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