# BRIDGEWAY REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609268580
- **Authorized official:** MRS. ROSITA JIMENEZ-HAIRSTON (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (908) 355-7886

## Contact information

- **Practice address:** 554 BLOOMFIELD AVE, SUITE 201, 2ND FLOOR, BLOOMFIELD, NJ 07003-3307
- **Practice address phone:** (908) 355-7886
- **Practice address fax:** (908) 355-6668
- **Mailing address:** 615 N BROAD ST, ELIZABETH, NJ 07208-3409
- **Mailing address phone:** (908) 355-7886
- **Mailing address fax:** (908) 355-6668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 204010248 | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/02/2015