MEDICARE: PAIJE BLUITT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	28263765C	IN

General Provider Information

NPI Number	:	1891583613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIJE BLUITT

Provider Business Mailing Address
First Line	:	10 GREEN ST APT 328
Second Line	:
City	:	WOODBRIDGE
State	:	NJ
Zip	:	07095-3368
Country	:	US
Telephone Number	:	317-903-6398
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 GREEN ST APT 328
Second Line	:
City	:	WOODBRIDGE
State	:	NJ
Zip	:	07095-3368
Country	:	US
Telephone Number	:	317-903-6398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “ PAIJE BLUITT ” Practice Location

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