Provider Demographics
NPI:1972003952
Name:BRIDGJAY CORP
Entity Type:Organization
Organization Name:BRIDGJAY CORP
Other - Org Name:BRIDGJAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREL
Authorized Official - Middle Name:BRIDGJAY
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-488-8536
Mailing Address - Street 1:298 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-3515
Mailing Address - Country:US
Mailing Address - Phone:646-488-8536
Mailing Address - Fax:
Practice Address - Street 1:298 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-3515
Practice Address - Country:US
Practice Address - Phone:646-488-8536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services