NPPES file of Aug 9, 2026

Bridgecare Provider Group LLC in Wayne, NJ

This organization bills under NPI 1164148672, an organization record issued on Oct 17, 2022 with the primary taxonomy Primary Care Nurse Practitioner. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1164148672
Legal name
Bridgecare Provider Group LLC
Entity
Type 2 · organization
Primary taxonomy
Primary Care Nurse Practitioner 363LP2300X
Practice location
493 BLACK OAK RIDGE RD, Wayne, NJ 07470
Phone
973-692-9500
Mailing address
Fort Lee, NJ
Enumerated
Oct 17, 2022
Record updated
Oct 17, 2022
Authorized official
Owner (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

6 clinicians CMS lists with Bridgecare Provider Group in Wayne

  1. Georgiette Ameyaw-Wordie, FNPFamily Nurse Practitioner1245680800
  2. Thomas Berges, APN-CAdult Health Nurse Practitioner1396959847
  3. Armeegrace Campos, APNNurse Practitioner1487150314
  4. Darshika DesaiNurse Practitioner1841883758
  5. Anatoly MaloletkinPsychiatric/Mental Health Nurse Practitioner1215724539
  6. Kristine Ruble, CRNPFamily Nurse Practitioner1073175261

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the New Jersey secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 103TA0700X Adult Development & Aging Psychologist
  • 1041C0700X Clinical Social Worker
  • 363LP2300X Primary Care Nurse Practitioner

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.