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BLOOMING HEALTH LLC
NPI 1104596840
Pharmacy - Long Term Care Pharmacy in Park Ridge, NJ

Active since September 15, 2021CLIA 31D2211980 · Waiver
40 PARK AVE, STORE 5, PARK RIDGE, NJ 07656(201) 554-2200(201) 554-2300 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blooming Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMING HEALTH LLC (NPI 1104596840), doing business as Park Ridge Pharmacy, is a healthcare organization registered as a long term care pharmacy in Park Ridge, New Jersey and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Amgad Wassef, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1104596840
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBLOOMING HEALTH LLC
Location Address40 PARK AVE, STORE 5Park Ridge, NJ 07656
Mailing Address40 Park Ave, Store 5Park Ridge, NJ 07656 · (201) 554-2200 · Fax (201) 554-2300
Phone(201) 554-2200
Fax(201) 554-2300
Organization SubpartNo
Authorized OfficialAmgad WassefPharmacist · (914) 886-2253
Enumeration DateSeptember 15, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1104596840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
40 PARK AVE, Park Ridge, NJ 07656
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Other Names 1

Doing Business AsPark Ridge Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2211980

Blooming Health LLC · Park Ridge, NJ
Active · expires Feb 1, 2027
CLIA Number31D2211980
Laboratory TypePharmacy
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorAmgad Wassef
Laboratory Phone(201) 554-2200
Laboratory LocationBlooming Health LLC40 Park Ave, Park Ridge, NJ 07656
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACIE FRIED
Pharmacist
40 PARK AVE
PARK RIDGE, NJ 07656
Bergen County (201) 554-2200
BLOOMING HEALTH LLC
Pharmacy (Community/Retail Pharmacy)
40 PARK AVE
PARK RIDGE, NJ 07656
Bergen County (201) 554-2200
CHRISTINE AYOB
Pharmacist
40 PARK AVE
PARK RIDGE, NJ 07656
Bergen County (201) 554-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blooming Health LLC's NPI number?

The NPI number for Blooming Health LLC is 1104596840. It was assigned to this organization in the NPPES registry on September 15, 2021. The provider is doing business as Park Ridge Pharmacy.

Where is Blooming Health LLC located?

Blooming Health LLC is located at 40 Park Ave Store 5, Park Ridge, NJ 07656. The listed phone number is (201) 554-2200.

What is Blooming Health LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Blooming Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2211980) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blooming Health LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Blooming Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blooming Health LLC was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.