Organization
BRIDGEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
BRIDGEWAY BHS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHSAN JAN (DIRECTOR OF BILLING & REIMBURSEMENT)
(908) 355-7886
Entity
Organization
Contact information
Practice address
373 CLERMONT TER, UNION, NJ 07083-8073
(908) 355-7886
Mailing address
373 CLERMONT TER, UNION, NJ 07083-8073
(908) 355-7886
(908) 355-6668
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403873
—
NJ
Enumeration date
03/16/2023
Last updated
03/04/2025
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