Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLUE LILIES MEDICAL SPA
NPI 1669379038
Clinical Nurse Specialist - Adult Health in Nutley, NJ

Q: What is Blue Lilies Medical Spa's NPI number?

The NPI number for Blue Lilies Medical Spa is 1669379038. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is also known as Blue Lilies Med Spa.

Q: What is Blue Lilies Medical Spa's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Active since October 20, 2026

414 CENTRE ST STE 1AND2, NUTLEY, NJ 07110(908) 836-7413 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Blue Lilies Medical Spa NPPES

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

BLUE LILIES MEDICAL SPA (NPI 1669379038) is a healthcare organization registered as an adult health in Nutley, New Jersey and active in the NPI registry since October 2026. The organization lists Kate A Okusanya, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1669379038

Entity TypeOrganization

Primary Taxonomy364SA2200X

Legal Business NameBLUE LILIES MEDICAL SPA

Location Address414 CENTRE ST STE 1AND2Nutley, NJ 07110-1712

Mailing Address414 Centre St Ste 1and2Nutley, NJ 07110-1712 · (908) 836-7413

Phone(908) 836-7413

Organization SubpartNo

Authorized OfficialKate A OkusanyaCo Owner · (908) 304-5313

Enumeration DateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1669379038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

414 CENTRE ST STE 1AND2, Nutley, NJ 07110

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Other Names 1

Other NameBlue Lilies Med Spa

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 Blue Lilies Medical Spa's NPI number?

The NPI number for Blue Lilies Medical Spa is 1669379038. It was assigned to this organization in the NPPES registry on October 20, 2026. The provider is also known as Blue Lilies Med Spa.

Where is Blue Lilies Medical Spa located?

Blue Lilies Medical Spa is located at 414 Centre St Ste 1and2, Nutley, NJ 07110. The listed phone number is (908) 836-7413.

What is Blue Lilies Medical Spa's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Blue Lilies Medical Spa was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.