OrganizationActive
Tidal Aba Nj LLC
NPI 1811751415 · Community/Behavioral Health Agency · Ewing, NJ
Tidal Aba Nj LLC is a Community/Behavioral Health Agency organization in Ewing, NJ (NPI 1811751415).
Provider details
- NPI number
- 1811751415
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jack Bravmann, Controller(718) 675-6957
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
820 Bear Tavern Rd
Ewing, NJ 08628-1021
Phone: (718) 736-5689
Street-level locationGet directions
Mailing address
600 Bayview Ave Ste 400
Inwood, NY 11096-1606
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Frequently asked questions
- What is Tidal Aba Nj LLC's NPI number?
- Tidal Aba Nj LLC's National Provider Identifier (NPI) is 1811751415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidal Aba Nj LLC?
- Tidal Aba Nj LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Tidal Aba Nj LLC located?
- Tidal Aba Nj LLC's practice location on file with NPPES is 820 Bear Tavern Rd, Ewing, NJ 08628-1021.
- What is Tidal Aba Nj LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidal Aba Nj LLC is (718) 736-5689.
- Who is the authorized official for Tidal Aba Nj LLC?
- The authorized official listed on Tidal Aba Nj LLC's NPPES record is Jack Bravmann, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidal Aba Nj LLC's NPI active?
- Yes — Tidal Aba Nj LLC's NPI (1811751415) is active in the NPPES registry as of the last update on 2024-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.