BRIDGE BACK TO LIFE CENTER, INC.
NPI 1518918101
Clinic/Center - Multi-Specialty in Bethpage, NY

Q: What is Bridge Back To Life Center, Inc.'s NPI number?

The NPI number for Bridge Back To Life Center, Inc. is 1518918101. It was assigned to this organization in the NPPES registry on May 16, 2006.

Q: What is Bridge Back To Life Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since May 16, 2006

1065 STEWART AVE STE 101, BETHPAGE, NY 11714(516) 520-6600(516) 520-6750 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2024, Jul 8, 2021 (2 updates tracked since 2021).

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About Bridge Back To Life Center, Inc. NPPES

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

BRIDGE BACK TO LIFE CENTER, INC. (NPI 1518918101) is a healthcare organization registered as a multi-specialty in Bethpage, New York and active in the NPI registry since May 2006. The organization maintains 3 additional practice locations and lists Elizabeth Carucci Rossi, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1518918101

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBRIDGE BACK TO LIFE CENTER, INC.

Location Address1065 STEWART AVE STE 101Bethpage, NY 11714-3637

Mailing Address1065 Stewart Ave Ste 101Bethpage, NY 11714-3637 · (516) 520-6600 · Fax (516) 520-6750

Phone(516) 520-6600

Fax(516) 520-6750

Organization SubpartNo

Authorized OfficialElizabeth Carucci RossiBilling Supervisor · (516) 520-6600

Enumeration DateMay 16, 2006

Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration

NPPES CertifiedJuly 22, 2024

✔ NPI 1518918101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

1065 STEWART AVE STE 101, Bethpage, NY 11714

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Secondary Practice Locations 3

Location 11688 Victory BlvdStaten Island, NY 10314-3547 · Phone (718) 447-5700 · Fax (718) 442-8945

Location 2175 Remsen St Ste 1010Brooklyn, NY 11201-4300 · Phone (718) 852-5552 · Fax (718) 852-5666

Location 33044 Coney Island Ave Ste 3Brooklyn, NY 11235-5224 · Phone (718) 265-4200 · Fax (718) 265-8536

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 6

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

PEDRO ORELLANA RN

Registered Nurse (General Practice)