Tamir Bloom, M.D.

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

25MA08322900 Issued in NJ

Practice address

218 Ridgedale Ave Ste 101
Cedar Knolls, NJ 07927-2109

Phone

(973) 538-7700

Fax

(973) 538-9478

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consensus Medical Group LLC

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1811466881
  Medicare reassignment NPD
• Marc Feingold MD LLC

  • Family Medicine Physician
  • Manalapan, NJ
  • NPI 1992026280
  NPD
• CMG Medical Group I LLC

  • Family Medicine Physician
  • Manalapan, NJ
  • NPI 1942778014
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1164594784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE STE 101",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-538-7700",
            "fax_number": "973-538-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RIDGEDALE AVE STE 101",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272109",
            "telephone_number": "973-538-7700",
            "fax_number": "973-538-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "TAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08322900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160245",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine B Baumann, APN
• Jeremy Baumgarten, PA-C
• Jonathan Raymond Beck, PT, DPT, SCS
• Shahrokh Bemanian, M.D.
• Jay M. Bernstein, M.D.
• Danyelle Alvino Blouin, PA
• Jenna Lin Boni, APN-C
• Grant Alexander Borovskis
• Tara Cummings Brennan, RBT
• Kelly Bretz

• Pediatric Orthopaedic Surgery Physician in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Pediatric Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.