Blue Terrier LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLUE TERRIER LLC

Practice address

25 Pompton Ave Ste 101
Verona, NJ 07044-2938

Phone

(631) 836-7963

NPI assigned

May 21, 2026

Organization subpart

No

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

Authorized official

Name

Vanessa Lantigua, PMHNPNPI 1154290831

Title

Nurse Practitioner

Phone

(631) 836-7963

Specialties & licenses 1

Addresses

Practitioners 1

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

• Vanessa Lantigua, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1154290831
  NPD Authorized official

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1932039971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE STE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442938",
            "telephone_number": "631-836-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE STE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442938",
            "telephone_number": "631-836-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE TERRIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "LANTIGUA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-836-7963",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Manish Vallabhdas Bhalodia, M.D.
• Michael R. Bilkis, M.D.
• Joseph Benjamin Bizzarro
• Nicholas Bizzarro, LCSW, LMFT
• Joey A Blanchard, BCBA
• Ira L. Bornstein, RPH
• Bostic Solutions LLC
• Monique Van Bostic, LCSW
• Andrew Scott Boxer, M.D.
• Bradley T Doolen OD LLC

• Psychiatric/Mental Health Nurse Practitioner in Verona, NJ
• Providers in Verona, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.