OrganizationActive
Bridgecare Provider Group LLC
NPI 1164148672 · Primary Care Nurse Practitioner · Wayne, NJ
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
Practice location
493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Phone: (973) 692-9500
Approximate (ZIP-level) locationGet directions
Mailing address
173 Bridge Plz N
Fort Lee, NJ 07024-7575
Registry dates
- Enumerated
- 2022-10-17
- Last updated
- 2022-10-17
- Certified
- 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.