Blue Light Digital Sound LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUE LIGHT DIGITAL SOUND LLC

Practice address

34 Mill St
Mount Holly, NJ 08060-1804

Phone

(609) 914-0230

NPI assigned

Jun 2, 2017

Last updated

Mar 17, 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

Mr. Matthew David Bogacki

Title

Program Director

Phone

(609) 914-0230

Specialties & licenses 1

Addresses

Other names 1

• Blue Light Music Program Other name

Locations

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962930966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MILL ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MILL ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601804",
            "telephone_number": "609-914-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 S Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086112009",
            "country_code": "US",
            "telephone_number": "609-914-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE LIGHT DIGITAL SOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BOGACKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "609-914-0230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Light Music Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah Jo Bianco
• Robert J Biondi, D.O.
• Alisha Bishop
• Emma Elizabeth Bittner, PMHNP-BC
• Yvonne Blackwell
• Annabelle Sung-Hye Jeong Bocelli, FNP-C, WCC
• Nana Serwa Bonsu, BSN, RN
• Julie Borlaug
• Nichole Bosack, LPN
• Nissa Erin Boykin

• Community/Behavioral Health Agency in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

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