Provider Demographics
NPI:1437997251
Name:BLOOM MEDICAL OF NEW JERSEY
Entity type:Organization
Organization Name:BLOOM MEDICAL OF NEW JERSEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:973-580-0650
Mailing Address - Street 1:8 CAMPUS DR STE 105
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4409
Mailing Address - Country:US
Mailing Address - Phone:201-474-7333
Mailing Address - Fax:201-367-4821
Practice Address - Street 1:8 CAMPUS DR STE 105
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4409
Practice Address - Country:US
Practice Address - Phone:201-474-7333
Practice Address - Fax:201-367-4821
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLOOM HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-16
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty