Blooming Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLOOMING HEALTH LLC

Doing business as

Park Ridge Pharmacy

Practice address

40 Park Ave
Park Ridge, NJ 07656-1454

Phone

(201) 554-2200

Fax

(201) 554-2300

NPI assigned

Oct 13, 2019

Last updated

May 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amgad WassefNPI 1588228944

Title

Ceo / Owner

Phone

(914) 886-2253

Specialties & licenses 1

Addresses

Other names 1

• Park Ridge Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amgad Wassef, RPH, MBA

  • Community/Retail Pharmacy
  • Park Ridge, NJ
  • NPI 1588228944
  NPD Authorized official
• Christine Ayob

  • Pharmacist
  • Park Ridge, NJ
  • NPI 1417723396
  NPD
• Michele S Cushing-Hennessy, RPH

  • Pharmacist
  • Park Ridge, NJ
  • NPI 1396315917
  NPD
• Tracie Fried

  • Pharmacist
  • Park Ridge, NJ
  • NPI 1003424540
  NPD
• Nicholas Carmine Todaro

  • Pharmacist
  • Park Ridge, NJ
  • NPI 1659027175
  NPD

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1194367987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561454",
            "telephone_number": "914-886-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561454",
            "telephone_number": "201-554-2200",
            "fax_number": "201-554-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "AMGAD",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "914-886-2253"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arthur Scot Barthold, R.PH.
• Jorge Becerra
• Ava Luciana Berenato, LAC
• Shayna Berkowitz
• Blooming Health LLC (Park Ridge Pharmacy)
• Stephanie Blum, LPC, LMHC
• Evan Bracconeri, DPT
• Keri Bratcher, PT, MPT
• Evalynne Velez Braun, M.D.
• Joseph Adams Braun, PH.D.

• Community/Retail Pharmacy in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.