SUNRISE OF BRIDGEWATER, LLC
NPI 1104481399
Assisted Living Facility in Bridgewater, NJ

Q: What is Sunrise Of Bridgewater, LLC's NPI number?

The NPI number for Sunrise Of Bridgewater, LLC is 1104481399. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Sunrise of Bridgewater.

Q: What is Sunrise Of Bridgewater, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 03, 2019CLIA 31D2195402 · Waiver

390 ROUTE 22, BRIDGEWATER, NJ 08807(908) 605-2074(908) 605-2075 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sunrise Of Bridgewater, Llc NPPES

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

SUNRISE OF BRIDGEWATER, LLC (NPI 1104481399), doing business as Sunrise Of Bridgewater, is a healthcare organization registered as an assisted living facility in Bridgewater, New Jersey and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Jonathan Graf, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104481399

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUNRISE OF BRIDGEWATER, LLC

Location Address390 ROUTE 22Bridgewater, NJ 08807-2478

Mailing Address390 Route 22Bridgewater, NJ 08807-2478 · (908) 605-2074 · Fax (908) 605-2075

Phone(908) 605-2074

Fax(908) 605-2075

Organization SubpartNo

Authorized OfficialJonathan GrafExecutive Director · (908) 605-2074

Enumeration DateMay 3, 2019

✔ NPI 1104481399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

390 ROUTE 22, Bridgewater, NJ 08807

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Other Names 1

Doing Business AsSunrise Of Bridgewater

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 31D2195402

Sunrise Of Bridgewater · Bridgewater, NJ

Active · expires Oct 7, 2026

CLIA Number31D2195402

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 8, 2024

Certificate Expiration DateOctober 7, 2026

Laboratory DirectorAlexia Carballo

Laboratory Phone(908) 605-2074

Laboratory LocationSunrise Of Bridgewater390 Route 22 East, Bridgewater, NJ 08807

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 Sunrise Of Bridgewater, LLC's NPI number?

The NPI number for Sunrise Of Bridgewater, LLC is 1104481399. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Sunrise of Bridgewater.

Where is Sunrise Of Bridgewater, LLC located?

Sunrise Of Bridgewater, LLC is located at 390 Route 22, Bridgewater, NJ 08807. The listed phone number is (908) 605-2074.

What is Sunrise Of Bridgewater, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Sunrise Of Bridgewater, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2195402) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunrise Of Bridgewater, LLC was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.