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NPI Code Detail

MEDICARE: BRIDGECARE ABA MD LLC

MEDICARE: BRIDGECARE ABA MD 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
1251E00000XHome Health Agency
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1518821842
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGECARE ABA MD LLC
Provider Business Mailing Address
First Line : 3600 ROUTE 66 STE 150
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-2645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9711 WASHINGTONIAN BLVD STE 550
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-5789
Country : US
Telephone Number : 201-676-2579
Fax Number :
Authorized Official
Title or Position : CO- DIRECTOR
Name : MORDECHAI POMERANTZ
Credential :
Telephone Number : 201-676-2579
Provider Enumeration Date : 12/11/2025
Last Update Date : 02/04/2026

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