Blossom Women'S Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLOSSOM WOMEN'S CARE LLC

Practice address

10 Tempesta Ter
West Caldwell, NJ 07006-6934

Phone

(973) 641-6412

NPI assigned

Apr 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren Wacha, OTRNPI 1033411707

Title

Ceo

Phone

(973) 641-6412

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Wacha, OTR

  • Occupational Therapist
  • Salt Lake City, UT
  • NPI 1033411707
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1063109239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TEMPESTA TER",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066934",
            "telephone_number": "973-641-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TEMPESTA TER",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066934",
            "telephone_number": "973-641-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM WOMEN'S CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "WACHA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-641-6412",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard M Kruger DMD PA
• Mikaela Bichler
• Richard G Binetti, M.D.
• Lynne Margaret Birrer
• Blooming Family Dental LLC
• Tamara Bogdanova, OTR-L
• Robyn Ann Bognar, MS CCC-SLP
• Gianna Bossone
• Carrie Jane Bott, DPT
• Lisa Bracamonte, PSY D

• Clinic/Center in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.