Blossom NP In Psychiatry Health Pll
Psychiatry & Neurology, Psychiatry in Fair Lawn, New Jersey
1417643842- Practice location
- 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006
- Phone
- 833-325-6766
- Fax
- —
- Last updated
- April 18, 2023
Blossom NP In Psychiatry Health Pll is a healthcare organization based in Fair Lawn, NJ. Blossom NP In Psychiatry Health Pll practices in Fair Lawn, NJ. The NPI Number for Blossom NP In Psychiatry Health Pll is 1417643842. The current practice location address for Blossom NP In Psychiatry Health Pll is 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006 and can be reached out via phone at 833-325-6766.
Provider Profile Details
- NPI Number
- 1417643842
- Provider Name
- Blossom NP In Psychiatry Health Pll
- Provider Entity Type
- Organization
- Address
- 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006
- Phone Number
- 833-325-6766
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Dr. Daliya Anoo Chandroth · Owner · 201-214-0400
- Provider Enumeration Date
- April 18, 2023
- Last Update Date
- April 18, 2023
- Certification Date
- April 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15-01 Broadway Ste 24
Fair Lawn, NJ 07410-6006 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-6006
- Phone Number
- 833-325-6766
Provider Business Mailing Address Details
- Address
- 15-01 Broadway Ste 24
Fair Lawn, NJ 07410-6006 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-6006
- Phone Number
- 833-325-6766
License Information
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blossom NP In Psychiatry Health Pll?
The NPI number of Blossom NP In Psychiatry Health Pll is 1417643842. It was assigned on April 18, 2023 and is currently active in the NPPES registry.
What is the specialty of Blossom NP In Psychiatry Health Pll?
Blossom NP In Psychiatry Health Pll is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).
Where does Blossom NP In Psychiatry Health Pll practice?
The practice location is 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006. The office can be reached at 833-325-6766 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417643842 directly on the NPPES registry website.