| Blue Health LLC | |
|
55 Morris Ave Ste 200 Springfield NJ 07081-1422 | |
| (718) 705-4936 | |
| Not Available |
| Full Name | Blue Health LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Morris Ave Ste 200, Springfield, New Jersey |
| Authorized Official Name and Position | Joseph Tessler (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7187054936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Health LLC 55 Morris Ave Ste 200 Springfield NJ 07081-1422 | Blue Health LLC 55 Morris Ave Ste 200 Springfield NJ 07081-1422 Ph: (718) 705-4936 |
| NPI Number | 1619847951 |
|---|---|
| Provider Enumeration Date | 11/11/2025 |
| Last Update Date | 11/11/2025 |
| Certification Date | 11/11/2025 |
| Medicare PECOS PAC ID | 7810482023 |
|---|---|
| Medicare Enrollment ID | O20251224000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619847951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Maria J Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109819 PECOS PAC ID: 0941587844 Enrollment ID: I20170502001753 |
| Provider Name | Stephanie L Polperio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831796119 PECOS PAC ID: 8022438779 Enrollment ID: I20201019000675 |
| Provider Name | Jo Ann Limos Daquiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962136994 PECOS PAC ID: 7618330473 Enrollment ID: I20230825001965 |
| Provider Name | Rajni Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902785249 PECOS PAC ID: 7517450125 Enrollment ID: I20251203000226 |
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