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Lifebridge

Lifebridge is a healthcare organization registered as Community/Behavioral Health Agency in Nutley, NJ, holding Type 2 (organization) NPI 1407681497 since 2024. The authorized official on file is Dylan Bahaw, Ceo.

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NPI 1407681497
Entity type Organization (Type 2)
Legal business name Lifebridge
Practice address 188 HIGH ST APT 2, Nutley, NJ, 07110
Phone 9733360144
Enumeration date 2024-09-07
Last updated in NPPES 2024-09-10

Authorized official

Name Dylan Bahaw
Title Ceo
Phone 9733360144

Taxonomy & classification

Taxonomy code Specialty Primary License State
251S00000X Community/Behavioral Health Agency Primary
Copy-ready billing details
Provider: Lifebridge
NPI: 1407681497
Taxonomy: 251S00000X (Community/Behavioral Health Agency)
Address: 188 HIGH ST APT 2, Nutley, NJ, 07110

Verify this record

Cross-check NPI 1407681497 against the authoritative CMS record: view Lifebridge on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-10. Verify at npiregistry.cms.hhs.gov.
Where is Lifebridge located?
The practice location on file with NPPES is in Nutley, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-10.