Blossom NP in Psychiatry Health Pll
NPI 1417643842 · Psychiatry Physician · Fair Lawn, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blossom NP in Psychiatry Health Pll is a Psychiatry Physician organization in Fair Lawn, NJ (NPI 1417643842).
Provider details
- NPI number
- 1417643842
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daliya Chandroth, Owner(201) 214-0400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
- Certified
- 2023-04-17
Frequently asked questions
- What is Blossom NP in Psychiatry Health Pll's NPI number?
- Blossom NP in Psychiatry Health Pll's National Provider Identifier (NPI) is 1417643842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom NP in Psychiatry Health Pll?
- Blossom NP in Psychiatry Health Pll is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Blossom NP in Psychiatry Health Pll located?
- Blossom NP in Psychiatry Health Pll's practice location on file with NPPES is 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006.
- What is Blossom NP in Psychiatry Health Pll's phone number?
- The practice phone number listed in the NPPES registry for Blossom NP in Psychiatry Health Pll is (833) 325-6766.
- Does Blossom NP in Psychiatry Health Pll accept Medicare?
- Blossom NP in Psychiatry Health Pll is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blossom NP in Psychiatry Health Pll?
- The authorized official listed on Blossom NP in Psychiatry Health Pll's NPPES record is Daliya Chandroth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom NP in Psychiatry Health Pll's NPI active?
- Yes — Blossom NP in Psychiatry Health Pll's NPI (1417643842) is active in the NPPES registry as of the last update on 2023-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.