Active NPI
St John of Lotus Healthcare Services Inc
- Home Health Agency
- Lyndhurst, NJ
National Provider Identifier
1295311488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ST JOHN OF LOTUS HEALTHCARE SERVICES INC
- Practice address
- 218 Stuyvesant Ave , Suite #4 Second Floor
Lyndhurst, NJ 07071 - Phone
- (973) 410-7023
- NPI assigned
- Mar 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janejuliet Wambui, MS
- Title
- Administrator
- Phone
- (929) 410-7023
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
218 Stuyvesant Ave , Suite #4 Second Floor
Lyndhurst, NJ 07071
Mailing address
218 Stuyvesant Ave , Suite #4 Second Floor
Lyndhurst, NJ 07071
Phone (929) 410-7023
National Provider Directory
National Provider DirectoryLocations
218 Stuyvesant Ave
Ste 4
Lyndhurst, NJ 07071
Phone (973) 410-7023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1295311488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 STUYVESANT AVE , SUITE #4 SECOND FLOOR",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "07071",
"telephone_number": "929-410-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 STUYVESANT AVE , SUITE #4 SECOND FLOOR",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "07071",
"telephone_number": "973-410-7023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOHN OF LOTUS HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-19",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "WAMBUI",
"authorized_official_first_name": "JANEJULIET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "929-410-7023",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.