Bonnie Brae

LBN: Bonnie Brae
Bonnie Brae is an health care organization with primary practice located at 3415 Valley Road , Liberty Corner NJ 07938. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty. Bonnie Brae can be contacted via phone (908) 647-0800, or through Rieger, Paul D. via phone (908) 647-4719.

Contact Information

Primary practice address
3415 Valley Road Liberty Corner NJ 07938
Phone: (908) 647-0800
Fax: (908) 647-5021
Website:
Map and Directions
Authorized official contact:
Name: Rieger, Paul D. MSW
Phone: (908) 647-4719

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1780291542
LBN Legal business name Bonnie Brae
DBA Doing business as
Authorized official Rieger, Paul D. MSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2020
Last updated Sep 25th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780291542 NPPES
New Jersey MEDICAID 1831522523
New Jersey MEDICAID 1245689686
New Jersey MEDICAID 1447885520
New Jersey MEDICAID 1497152961
New Jersey MEDICAID 1003081605
New Jersey MEDICAID 1235405689
New Jersey MEDICAID 1912063702
New Jersey MEDICAID 1508220922
New Jersey MEDICAID 183448414

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