Provider Demographics
NPI:1982768420
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 1:640 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1735
Practice Address - Country:US
Practice Address - Phone:973-839-2521
Practice Address - Fax:973-686-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ303041705251S00000X
261QM0801X
NJ303041305251S00000X
NJ303041204261QM0801X
NJ303041104261QM0801X
NJ30304P020540320800000X
NJ30304P020440320800000X
NJ30304P020240320800000X
NJ30304P020140320800000X
NJ30304P020041320800000X
NJ303041948320800000X
NJ303041304261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0013005Medicaid
NJ0013005Medicaid
NJ0022128Medicaid
NJ7679602OtherPASSAIC CTY PC
NJ0084409OtherRESIDENTIAL
NJ7679700OtherPASSAIC CTY OC
NJ0022110Medicaid
NJ0013005Medicaid