Bluewater Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLUEWATER WELLNESS CENTER

Practice address

10870 US Highway 1 N Unit 105
Ponte Vedra, FL 32081-7804

Phone

(201) 248-9609

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kevin S Merlino, DCNPI 1851457097

Title

Owner/Chiropractor

Phone

(201) 248-9609

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Kevin S Merlino, D.C.

  • Chiropractor
  • Ponte Vedra, FL
  • NPI 1851457097
  Medicare reassignment NPD Authorized official
• Matthew P Juber, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1891203170
  Medicare reassignment NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1689355869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CORNWALL DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810126",
            "telephone_number": "201-248-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 US HIGHWAY 1 N UNIT 105",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817804",
            "telephone_number": "201-248-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "201-248-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alonzo Carlos Blackmon, D.D.S, M.S.
• Blue Water Dental of St. Johns
• Blue Water Health and Wellness LLC
• Bluebird Medical & Wellness Corp
• Bluebird Pediatrics
• Jennifer Borgio, ATC
• William David Boyd, M.D.
• Melanie Loretta Bradley, DO
• Meredith Johnston Brazell, D.O.
• Julie Bredt, ARNP-FNP

• Chiropractor in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.