Provider Demographics
NPI:1891953170
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:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-839-2520
Mailing Address - Street 1:7 INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:PEQUANNOCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07440-1901
Mailing Address - Country:US
Mailing Address - Phone:973-839-2520
Mailing Address - Fax:
Practice Address - Street 1:7 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:PEQUANNOCK
Practice Address - State:NJ
Practice Address - Zip Code:07440-1901
Practice Address - Country:US
Practice Address - Phone:973-839-2520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ30304 P0201 40320800000X
NJ30304 P020041320800000X
NJ30304 P02 06 40320800000X
NJ30304 P02 04 40320800000X
NJ30304 P02 02 40320800000X
NJ30304R020540320800000X
NJ30304 R02 00 41320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0084409OtherRESIDENTIAL
NJ0084409Medicaid
NJ0084409Medicaid