Blue Health LLC
Organization Active NPI Clinic/Center · Springfield, NJ
NPI 1619847951 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1619847951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BLUE HEALTH LLC
- Practice address
- 55 Morris Ave Ste 200
Springfield, NJ 07081-1422 - Phone
- (718) 705-4936
- NPI assigned
- Nov 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Joseph Tessler
- Title
- Authorized Official
- Phone
- (718) 705-4936
Practitioners 4
-
Jo Ann Limos Daquiz, APN
-
Stephanie Lynn Polperio, MSN, ACNPC-AG
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251224000773 | NJ | Part B Supplier - Clinic/Group Practice | 7810482023 |
Receives reassigned benefits from 4 practitioners Practice locations: Springfield, NJ |
National Provider Directory
Locations
55 Morris Ave
Ste 200
Springfield, NJ 07081
Phone (201) 253-6055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
55 Morris Ave Ste 200
Springfield, NJ 07081-1422
Mailing address
55 Morris Ave Ste 200
Springfield, NJ 07081-1422
Other providers in Springfield, NJ
- Bibi Health and Wellness LLC
- Bibi Metabolic and Bariatric Services LLC
- Leonard Bielory
- Leo Waters Binns Jr.
- Danielle Blackwell
- Jacklyn Boardman
- Roger T Boetsch
- William H Bohrod
- Megan Bohse
- Boomerang Transportation Inc.
All providers in Springfield, NJ · Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.