Bloom Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

BLOOM ANESTHESIA

Practice address

393 Bloomfield Ave
Montclair, NJ 07042-3741

Phone

(973) 746-1500

Fax

(973) 746-0937

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Michael Kotsatos

Title

General Partner

Phone

(917) 497-4182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1245976950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423741",
            "telephone_number": "973-746-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423741",
            "telephone_number": "973-746-1500",
            "fax_number": "973-746-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "KOTSATOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "917-497-4182"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bilse, LCSW
• Caryn Binder-Bregman, PT
• David Blady, MD
• Kimberly Mariaelena Blair
• Lauren Taylor Block
• Zachary Bloom, MA, RDT, LCAT
• Blue Aspen Counseling and Consulting LLC
• Blue Star Medical Group
• Chanta Blue, LCSW
• Blueprint Physical Therapy and Wellness LLC

• Anesthesiology Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.