BONNIE BRAE – NPI #1780291542
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

BONNIE BRAE is a substance abuse rehabilitation facility located in LIBERTY CORNER, NJ. NPPES has assigned the NPI number 1780291542 to BONNIE BRAE on September 25, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONNIE BRAE below.

NPI Profile for
BONNIE BRAE

NPI Number
1780291542
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BONNIE BRAE
Primary location
3415 VALLEY ROAD
LIBERTY CORNER, NJ 07938
Phone: (908) 647-0800 Fax: (908) 647-5021
Mailing address
PO BOX 825
LIBERTY CORNER, NJ 07938-0825
Phone: (908) 647-0800 Fax: (908) 647-5021
Organization Subpart
No
Authorized Official
PAUL RIEGER
CEO
Phone: (908) 647-4719
Updated
Certification Date
Sep 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BONNIE BRAE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDNJ1831522523
MEDICAIDNJ1235405689
MEDICAIDNJ1447885520
MEDICAIDNJ1245689686
MEDICAIDNJ1003081605
MEDICAIDNJ1497152961
MEDICAIDNJ1508220922
MEDICAIDNJ183448414
MEDICAIDNJ1912063702
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
323P00000X
- Psychiatric Residential Treatment Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.