Blue Orchid Integrative Medicine, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLUE ORCHID INTEGRATIVE MEDICINE, PA

Practice address

706 8TH Ave
Asbury Park, NJ 07712-5210

Phone

(848) 217-2270

Fax

(732) 774-7973

NPI assigned

Jul 22, 2018

Last updated

Jul 22, 2018By 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

Bernard Lane, MDNPI 1033344155

Title

Medical Director

Phone

(848) 217-8870

Specialties & licenses 1

Addresses

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.

• Bernard J Lane, MD

  • Anesthesiology Physician
  • Roslyn, NY
  • NPI 1033344155
  NPD Authorized official

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532217600000",
    "number": "1730666884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 8TH AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125210",
            "telephone_number": "848-217-2270",
            "fax_number": "732-774-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 8TH AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125210",
            "telephone_number": "848-217-2270",
            "fax_number": "732-774-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ORCHID INTEGRATIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "848-217-8870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilay Manojkumar Baxi, MD
• Belmar Reliable Transportation
• Wendy Berk
• Dannis Shelly Billups Jr., CADC
• Susan Marie Bisaha, LPC
• Janet Blum
• Alyssa Mary Bokay, BA
• Claire G. Boren, LCSW
• Stephanie Elizabeth Brady, M.A., CCC-SLP
• Aliza Brown

• Primary Care Clinic/Center in Asbury Park, NJ
• Providers in Asbury Park, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.