Blue Terrier LLC
Nurse Practitioner, Psych/Mental Health in Verona, New Jersey
1932039971- Practice location
- 25 Pompton Ave Ste 101, Verona, NJ 07044-2938
- Phone
- 631-836-7963
- Fax
- —
- Last updated
- May 21, 2026
Blue Terrier LLC is a healthcare organization based in Verona, NJ. Blue Terrier LLC practices in Verona, NJ. The NPI Number for Blue Terrier LLC is 1932039971. The current practice location address for Blue Terrier LLC is 25 Pompton Ave Ste 101, Verona, NJ 07044-2938 and can be reached out via phone at 631-836-7963.
Provider Profile Details
- NPI Number
- 1932039971
- Provider Name
- Blue Terrier LLC
- Provider Entity Type
- Organization
- Address
- 25 Pompton Ave Ste 101, Verona, NJ 07044-2938
- Phone Number
- 631-836-7963
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Vanessa Lantigua, PMHNP · Nurse Practitioner · 631-836-7963
- Provider Enumeration Date
- May 21, 2026
- Last Update Date
- May 21, 2026
- Certification Date
- May 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Pompton Ave Ste 101
Verona, NJ 07044-2938 - City
- Verona
- State
- New Jersey
- Zip
- 07044-2938
- Phone Number
- 631-836-7963
Provider Business Mailing Address Details
- Address
- 25 Pompton Ave Ste 101
Verona, NJ 07044-2938 - City
- Verona
- State
- NJ
- Zip
- 07044-2938
- Phone Number
- 631-836-7963
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Blue Terrier LLC?
The NPI number of Blue Terrier LLC is 1932039971. It was assigned on May 21, 2026 and is currently active in the NPPES registry.
What is the specialty of Blue Terrier LLC?
Blue Terrier LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Blue Terrier LLC practice?
The practice location is 25 Pompton Ave Ste 101, Verona, NJ 07044-2938. The office can be reached at 631-836-7963 (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 1932039971 directly on the NPPES registry website.