Blue Lilies Medical Spa

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

Legal business name

BLUE LILIES MEDICAL SPA

Practice address

414 Centre St Ste 1And2
Nutley, NJ 07110-1712

Phone

(908) 836-7413

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 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

Kate A Okusanya, ANP-BCNPI 1720325301

Title

Co Owner

Phone

(908) 304-5313

Specialties & licenses 1

Addresses

Other names 1

• BLUE LILIES MED SPA Other name

Locations

Practitioners 1

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.

• Kate A Okusanya, NP

  • Adult Health Nurse Practitioner
  • East Hanover, NJ
  • NPI 1720325301
  Authorized official Same address or phone

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1669379038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CENTRE ST STE 1AND2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101712",
            "telephone_number": "908-836-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CENTRE ST STE 1AND2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101712",
            "telephone_number": "908-836-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LILIES MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "OKUSANYA",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "908-304-5313",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE LILIES MED SPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrian Bituin, OTR/L
• Francesca Bivona, PHARMD
• Ronald James Blackwell, DPT
• Anna C Blas, CPT
• Randi Blitzer
• Gehan Botors
• Rajaa B Bourhani, LSW
• Courtney Breiner
• Thomas Peter Bridge, MD
• Dana Brignola, PA

• Adult Health Clinical Nurse Specialist in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Adult Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.