Blue Ridge Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLUE RIDGE CARE

Practice address

1797 Veterans Memorial Hwy
Islandia, NY 11749-1537

Phone

(631) 838-5320

NPI assigned

Jul 17, 2026

Last updated

Jul 17, 2026By 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

Ehsan Butt

Title

Manager

Phone

(631) 838-5320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1629998885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 JAYNE BLVD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762905",
            "telephone_number": "631-838-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 VETERANS MEMORIAL HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491537",
            "telephone_number": "631-838-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-838-5320"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Bergson, M.D.
• Stuart M Berman, M.D.
• Angelica Maria Berrios, LMHC
• Jennifer Lynn Bie
• BJ's Wholesale Club Inc.
• Scott Marshall Blyer, MD
• Alyssa Bohonan
• Joseph P Bonafede, M.D.
• Kevin Bonilla, MD
• Charles Bordes

• Clinic/Center in Islandia, NY
• Providers in Islandia, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.