Provider Demographics
NPI:1497019533
Name:NEWBRIDGE SERVICES, INC.
Entity Type:Organization
Organization Name:NEWBRIDGE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-839-2520
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-0336
Mailing Address - Country:US
Mailing Address - Phone:973-839-2520
Mailing Address - Fax:
Practice Address - Street 1:1069 RINGWOOD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:HASKELL
Practice Address - State:NJ
Practice Address - Zip Code:07420
Practice Address - Country:US
Practice Address - Phone:973-628-8530
Practice Address - Fax:973-628-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ30304-22-05251S00000X
261QM0801X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7679602Medicaid
526328Medicare UPIN