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BRIDGE BACK TO LIFE
NPI 1083942411
Clinic/Center - Rehabilitation, Substance Use Disorder in New York, NY

Active since November 23, 2009
500 8TH AVE RM 906, NEW YORK, NY 10018(212) 679-4960 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridge Back To Life NPPES

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

BRIDGE BACK TO LIFE (NPI 1083942411) is a healthcare organization registered as a rehabilitation, substance use disorder in New York, New York and active in the NPI registry since November 2009. The organization lists Robert J. Vigil, Counselor, as its authorized official.

NPPES Registry Identity

NPI1083942411
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBRIDGE BACK TO LIFE
Location Address500 8TH AVE RM 906New York, NY 10018-4190
Mailing Address500 8th Ave Rm 906New York, NY 10018-4190 · (212) 679-4960
Phone(212) 679-4960
Organization SubpartNo
Authorized OfficialRobert J. VigilCounselor · (212) 679-4960
Enumeration DateNovember 23, 2009
✔ NPI 1083942411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in NY · 17584
500 8TH AVE RM 906, New York, NY 10018
Open in Google Maps ↗

Other Identifiers 1

Other17584NY · Casac

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QIANA WARE CASAC
Counselor (Addiction (Substance Use Disorder))
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (212) 679-4960
HILDA DOZIER CASAC
Counselor (Addiction (Substance Use Disorder))
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (800) 622-8996
MERILY MCLAUGHLIN
Counselor (Addiction (Substance Use Disorder))
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (212) 679-4960
GARY ALLEYNE
Counselor (Addiction (Substance Use Disorder))
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (212) 679-4960
KOICHI TOGAWA
Counselor (Addiction (Substance Use Disorder))
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (718) 852-5552
ANTHONY SCOLAVINO
Counselor (Addiction (Substance Use Disorder))
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (212) 679-4960
CHRISTINA M PENNA
Counselor (Mental Health)
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (212) 679-4960
BRIDGE BACK TO LIFE CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
500 8TH AVE RM 906
NEW YORK, NY 10018
New York County (212) 679-4960

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 Bridge Back To Life's NPI number?

The NPI number for Bridge Back To Life is 1083942411. It was assigned to this organization in the NPPES registry on November 23, 2009.

Where is Bridge Back To Life located?

Bridge Back To Life is located at 500 8th Ave Rm 906, New York, NY 10018. The listed phone number is (212) 679-4960.

What is Bridge Back To Life's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Bridge Back To Life was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.