Blue Heron Vitality LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BLUE HERON VITALITY LLC

Practice address

333 Fairview Ave
Westwood, NJ 07675-1704

Phone

(603) 455-7146

NPI assigned

Jun 21, 2025

Organization subpart

No

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

Authorized official

Name

Rachel Burack, LACNPI 1881345981

Title

Owner/Licensed Acupuncturist

Phone

(603) 455-7146

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rachel Leslie Burack

  • Acupuncturist
  • Roslindale, MA
  • NPI 1881345981
  NPD Authorized official

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1295622280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 KINDERKAMACK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751652",
            "telephone_number": "603-455-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FAIRVIEW AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751704",
            "telephone_number": "603-455-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BURACK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "603-455-7146",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen M Bianchi, MD
• Nicholas Joseph Biancola Jr., MSW., LCSW
• Katarina Bieri
• Robyn T Bilinski, MD
• Biopath Diagnostic Associates, PC
• Jonathan E Blume, M.D.
• Kaylee Jordan Bockhorn, M.S., CCC-SLP
• Teresa Rose Boemio, MS
• Andrew Michael Boruta, DO
• Mikhail A Botvinov, D.O.

• Acupuncturist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.