Organization Active NPI

Lotus Mental Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Howell, NJ
National Provider Identifier
1851046338
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOTUS MENTAL HEALTH & WELLNESS
Practice address
4514 Route 9 S # 1021
Howell, NJ 07731-3771
Phone
(908) 701-7031
Fax
(732) 520-3721
NPI assigned
Feb 14, 2022
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Francine Dygulski, PMHNPNPI 1831501618
Title
Owner
Phone
(908) 731-7031

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4514 Route 9 S # 1021
Howell, NJ 07731-3771

Mailing address

4514 Route 9 S # 1021
Howell, NJ 07731-3771
Phone (908) 701-7031

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00500600OtherNJSTATE APN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220325002166 NJ Part B Supplier - Clinic/Group Practice 2466847561 Receives reassigned benefits from 2 practitioners
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

4514 Route 9 S
#1021
Howell, NJ 07731
Phone (732) 701-7031

Practitioners & affiliated clinicians

Practitioners 4

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": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1851046338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 ROUTE 9 S # 1021",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313771",
            "telephone_number": "908-701-7031",
            "fax_number": "732-520-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 ROUTE 9 S # 1021",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313771",
            "telephone_number": "908-701-7031",
            "fax_number": "732-520-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MENTAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "DYGULSKI",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-731-7031",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE APN LICENSE",
            "identifier": "26NJ00500600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.