Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blossom NP in Psychiatry Health Pll

Organization Psychiatry Physician · NPI 1417643842

Blossom NP in Psychiatry Health Pll provides Psychiatry Physician services in Fair Lawn, New Jersey. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

15-01 Broadway Ste 24
Fair Lawn, NJ 07410-6006
Phone: (833) 325-6766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1417643842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daliya Chandroth — Owner · (201) 214-0400
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 17, 2023
Mailing address15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006

Other providers in Fair Lawn