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BRIDGECARE PROVIDER GROUP LLC
NPI 1164148672
Nurse Practitioner - Primary Care in Wayne, NJ

Active since October 17, 2022
493 BLACK OAK RIDGE RD, WAYNE, NJ 07470(973) 692-9500 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridgecare Provider Group Llc NPPES

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

BRIDGECARE PROVIDER GROUP LLC (NPI 1164148672) is a healthcare organization registered as a primary care in Wayne, New Jersey and active in the NPI registry since October 2022. The organization lists Iyad Baker, Owner, as its authorized official.

NPPES Registry Identity

NPI1164148672
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBRIDGECARE PROVIDER GROUP LLC
Location Address493 BLACK OAK RIDGE RDWayne, NJ 07470-6501
Mailing Address173 Bridge Plz NFort Lee, NJ 07024-7575
Phone(973) 692-9500
Organization SubpartNo
Authorized OfficialIyad BakerOwner · (201) 596-6262
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1164148672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
493 BLACK OAK RIDGE RD, Wayne, NJ 07470
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MRS. OLUTOYIN FOLAKE ADEDEJI P.T.
Physical Therapist
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 646-7080
THOMAS MICHAEL BERGES APN-C
Nurse Practitioner (Adult Health)
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-5950
JILLIAN BETH WOODS MS, OTD, OTR/L
Occupational Therapist
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500
493 BLACK OAK RIDGE ROAD, LLC
Assisted Living Facility
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500
CHRISTIAN PHILIP DALAGAN SANTOS PT, DPT
Physical Therapist
493 BLACK OAK RIDGE RD
WAYNE, NJ 07470
Passaic County (973) 692-9500

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 Bridgecare Provider Group LLC's NPI number?

The NPI number for Bridgecare Provider Group LLC is 1164148672. It was assigned to this organization in the NPPES registry on October 17, 2022.

Where is Bridgecare Provider Group LLC located?

Bridgecare Provider Group LLC is located at 493 Black Oak Ridge Rd, Wayne, NJ 07470. The listed phone number is (973) 692-9500.

What is Bridgecare Provider Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Bridgecare Provider Group LLC was last updated on October 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.