| Bridgeway Behavioral Health Services | |
|
615 N Broad St Elizabeth NJ 07208-3409 | |
| (908) 355-7886 | |
| (908) 355-6668 |
| Full Name | Bridgeway Behavioral Health Services |
|---|---|
| Speciality | Case Management |
| Location | 615 N Broad St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Mohsan Jan (DIRECTOR OF BILLING & REIMBURSEMENT) |
| Authorized Official Contact | 9083557886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Behavioral Health Services 373 Clermont Ter Union NJ 07083-8073 Ph: (908) 355-7886 | Bridgeway Behavioral Health Services 615 N Broad St Elizabeth NJ 07208-3409 Ph: (908) 355-7886 |
| NPI Number | 1184748535 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184748535 | NPI | - | NPPES |
| 8819009 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 204011310 (New Jersey) | Secondary |
| 251B00000X | Case Management | 204010310 (New Jersey) | Primary |
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