Bridgecare Provider Group LLC
NPI 1164148672 · Primary Care Nurse Practitioner · Wayne, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgecare Provider Group LLC is a Primary Care Nurse Practitioner organization in Wayne, NJ (NPI 1164148672).
Provider details
- NPI number
- 1164148672
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Iyad Baker, Owner(201) 596-6262
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Adult Development & Aging Psychologist103TA0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-17
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Frequently asked questions
- What is Bridgecare Provider Group LLC's NPI number?
- Bridgecare Provider Group LLC's National Provider Identifier (NPI) is 1164148672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgecare Provider Group LLC?
- Bridgecare Provider Group LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bridgecare Provider Group LLC located?
- Bridgecare Provider Group LLC's practice location on file with NPPES is 493 Black Oak Ridge Rd, Wayne, NJ 07470-6501.
- What is Bridgecare Provider Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgecare Provider Group LLC is (973) 692-9500.
- Does Bridgecare Provider Group LLC accept Medicare?
- Bridgecare Provider Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bridgecare Provider Group LLC?
- The authorized official listed on Bridgecare Provider Group LLC's NPPES record is Iyad Baker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgecare Provider Group LLC's NPI active?
- Yes — Bridgecare Provider Group LLC's NPI (1164148672) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.