Organization Active NPI

Bliss Behavioral Health

  • Community/Behavioral Health Agency
  • Edison, NJ
National Provider Identifier
1679381677
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLISS BEHAVIORAL HEALTH
Practice address
6 Kilmer Rd # 1243
Edison, NJ 08817-2432
Phone
(732) 631-8081
NPI assigned
Dec 21, 2024
Last updated
Dec 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Authorized official

Name
Zaid Sika Iddrisu, NPNPI 1023886371
Title
Ceo
Phone
(646) 406-6497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

6 Kilmer Rd # 1243
Edison, NJ 08817-2432

Mailing address

7 Violet CT
Monroe, NJ 08831-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016001406 NJ Part B Supplier - Clinic/Group Practice 1052808680 Receives reassigned benefits from 1 practitioner
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

6 Kilmer Rd
#1243
Edison, NJ 08817
Phone (732) 631-8081

1346 How Ln
#32
North Brunswick, NJ 08902
Phone (732) 365-4980

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1679381677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VIOLET CT",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088311509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KILMER RD # 1243",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172432",
            "telephone_number": "732-631-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "SIKA IDDRISU",
        "authorized_official_first_name": "ZAID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-406-6497",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.