Blueren Health and Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00107300 Issued in NJ

Legal business name

BLUEREN HEALTH AND WELLNESS, LLC

Practice address

282 Main St
Suite 1
Lodi, NJ 07644-1829

Phone

(973) 346-2616

Fax

(732) 374-4090

NPI assigned

Apr 1, 2014

Last updated

Nov 20, 2016By 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

Fatma Minhas-Kucuk

Title

Owner

Phone

(973) 346-2616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479600000000",
    "number": "1922426550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAIN ST",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441829",
            "telephone_number": "973-346-2616",
            "fax_number": "732-374-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAIN ST",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441829",
            "telephone_number": "973-346-2616",
            "fax_number": "732-374-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEREN HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2016-11-20",
        "status": "A",
        "authorized_official_last_name": "MINHAS-KUCUK",
        "authorized_official_first_name": "FATMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-346-2616"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00107300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.