Charles H Bloom, DMD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CHARLES H BLOOM, DMD

Practice address

815 Livingston Ave
New Brunswick, NJ 08901-3344

Phone

(732) 249-6386

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Charles H Bloom, DMDNPI 1174731954

Title

Dentist Owner

Phone

(908) 720-5621

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Henry Bloom, D.M.D.

  • Prosthodontics
  • New Brunswick, NJ
  • NPI 1174731954
  NPD Authorized official
• Gari Goldberg Bloom, D.M.D.

  • General Practice Dentistry
  • New Brunswick, NJ
  • NPI 1487862967
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1265007629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LIVINGSTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013344",
            "telephone_number": "732-249-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LIVINGSTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013344",
            "telephone_number": "732-249-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H BLOOM, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "908-720-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakuntala Chandra, MD
• Binoy Mathew Chandy, M.D.
• Andrew Chang
• Joy Chang, DMD
• Prateek Chapalamadugu, M.D.
• Praveen Dilip Chatani, M.D.
• Sonia Chatterjee, M.D.
• Abhijeet Vaman Chaubal, M.D.
• Umesh Jadhav Chaudhari, MD
• Ashok Chaudhary, MD

• Dentist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.