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BRIDGETON MEDICAL ASSOCIATES PA
NPI 1013958719
Family Medicine in Bridgeton, NJ

Active since June 10, 2006CLIA 31D2113397 · Waiver
105 MANHEIM AVE, SUITE 1, BRIDGETON, NJ 08302(856) 455-2700(856) 455-7051 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bridgeton Medical Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGETON MEDICAL ASSOCIATES PA (NPI 1013958719) is a healthcare organization registered as a family medicine in Bridgeton, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Donna J Rocco, Billing Representative, as its authorized official.

NPPES Registry Identity

NPI1013958719
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRIDGETON MEDICAL ASSOCIATES PA
Location Address105 MANHEIM AVE, SUITE 1Bridgeton, NJ 08302-2139
Mailing Address105 Manheim Ave, Suite 1Bridgeton, NJ 08302 · (856) 455-2700 · Fax (856) 455-7051
Phone(856) 455-2700
Fax(856) 455-7051
Organization SubpartNo
Authorized OfficialDonna J RoccoBilling Representative · (856) 455-6214
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 26, 2015
✔ NPI 1013958719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 MANHEIM AVE, Bridgeton, NJ 08302
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Other Identifiers 2

Medicare ID-Type Unspecified037658NJ
Medicaid8239207NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgeton Medical Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bridgeton Medical Associates PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Joseph Ordille, DO
Family Practice
NPI 1053354357
105 MANHEIM AVE STE 1
Bridgeton, NJ 08302
(856) 455-2700
✔ PECOS✔ Accepts MedicareSame address
Judith Riley-Lowe, DO
Family Practice
NPI 1497861538
105 MANHEIM AVE SUITE 1
Bridgeton, NJ 08302
(856) 455-2700
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2113397

Bridgeton Medical Associates · Bridgeton, NJ
Active · expires May 22, 2028
CLIA Number31D2113397
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorJudith E. Riley-Lowe
Laboratory Phone(856) 455-2700
Laboratory LocationBridgeton Medical Associates105 Manheim Avenue Suite 1, Bridgeton, NJ 08302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeton Medical Associates PA's NPI number?

The NPI number for Bridgeton Medical Associates PA is 1013958719. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Bridgeton Medical Associates PA located?

Bridgeton Medical Associates PA is located at 105 Manheim Ave Suite 1, Bridgeton, NJ 08302. The listed phone number is (856) 455-2700.

What is Bridgeton Medical Associates PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bridgeton Medical Associates PA enrolled in Medicare?

Yes. Bridgeton Medical Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgeton Medical Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Bridgeton Medical Associates PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bridgeton Medical Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2113397) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridgeton Medical Associates PA was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.