Provider Demographics
NPI:1265814487
Name:BRIDGE LINX
Entity type:Organization
Organization Name:BRIDGE LINX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MASHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-460-1700
Mailing Address - Street 1:1001 DEAL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-2554
Mailing Address - Country:US
Mailing Address - Phone:732-460-1700
Mailing Address - Fax:732-460-1722
Practice Address - Street 1:1001 DEAL RD STE 103
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-2554
Practice Address - Country:US
Practice Address - Phone:732-460-1700
Practice Address - Fax:732-460-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty