BLUE TERRIER LLC
NPI 1932039971
Nurse Practitioner - Psychiatric/Mental Health in Verona, NJ
About Blue Terrier Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE TERRIER LLC (NPI 1932039971) is a healthcare organization registered as a psychiatric/mental health in Verona, New Jersey and active in the NPI registry since May 2026. The organization lists Vanessa Lantigua, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Terrier Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Terrier LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Terrier LLC's NPI number?
The NPI number for Blue Terrier LLC is 1932039971. It was assigned to this organization in the NPPES registry on May 21, 2026.
Where is Blue Terrier LLC located?
Blue Terrier LLC is located at 25 Pompton Ave Ste 101, Verona, NJ 07044. The listed phone number is (631) 836-7963.
What is Blue Terrier LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Blue Terrier LLC enrolled in Medicare?
Yes. Blue Terrier LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Terrier LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Blue Terrier LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Terrier LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Blue Terrier Llc · NPI 1932039971
Psychiatric/Mental Health organization in Verona, New Jersey. Organization record, active in the CMS NPPES registry since May 21, 2026.
## Identity
- **NPI:** 1932039971 (Entity type: Organization)
- **Enumerated:** May 21, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Vanessa Lantigua, NURSE PRACTITIONER
## Practice location
- **Address:** 25 POMPTON AVE STE 101, Verona, NJ 07044-2938
- **Phone:** (631) 836-7963
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932039971) · Data from the CMS NPPES public registry.