BRIDGECARE PROVIDER GROUP LLC
NPI 1164148672
Nurse Practitioner - Primary Care in Wayne, NJ
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
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridgecare Provider Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Bridgecare Provider Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 32Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Bridgecare Provider Group LLC enrolled in Medicare?
Yes. Bridgecare Provider Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridgecare Provider Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 2 Medicare specialties reassign their Medicare billing to Bridgecare Provider Group LLC. 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. The largest specialties are Nurse Practitioner (31) and Family Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bridgecare Provider Group Llc · NPI 1164148672
Primary Care organization in Wayne, New Jersey. Organization record, active in the CMS NPPES registry since October 17, 2022.
## Identity
- **NPI:** 1164148672 (Entity type: Organization)
- **Enumerated:** October 17, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Iyad Baker, OWNER
## Practice location
- **Address:** 493 BLACK OAK RIDGE RD, Wayne, NJ 07470-6501
- **Phone:** (973) 692-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Family Practice (1); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1164148672/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164148672) · Data from the CMS NPPES public registry.