Organization Active NPI

Intrabloom

  • Community/Behavioral Health Agency
  • Branchburg, NJ
National Provider Identifier
1104788181
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTRABLOOM
Practice address
971 US Highway 202 N Ste R
Branchburg, NJ 08876-3757
Phone
(609) 721-9950
NPI assigned
Nov 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ebony Poe
Title
Owner
Phone
(609) 721-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

971 US Highway 202 N Ste R
Branchburg, NJ 08876-3757

Mailing address

971 US Highway 202 N Ste R
Branchburg, NJ 08876-3757

Other practice location 1

4 Essex Ave
Sicklerville, NJ 08081-1210
Phone (609) 721-9950

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767225600000",
    "number": "1104788181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE R",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE R",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "609-721-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Essex Ave",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080811210",
            "country_code": "US",
            "telephone_number": "609-721-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTRABLOOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-721-9950"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.