Bloomfield Hospital Physicians, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BLOOMFIELD HOSPITAL PHYSICIANS, P.A.

Practice address

495 North 13TH Street
Newark, NJ 07107-1397

Phone

(973) 268-1400

NPI assigned

Aug 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Joseph John Calabro, DO

Title

President

Phone

(732) 212-0060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376543371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEST GILBERT STREET",
            "address_2": "2ND FLOOR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014918",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 NORTH 13TH STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071397",
            "telephone_number": "973-268-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD HOSPITAL PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALABRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-212-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8716609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sergey Blintsovskiy, MD
• Samantha Block, MD
• Bloomfield Ave Dental Spec, LLC
• Bloomfield Ave Dental, LLC
• Bloomfield Health Pavilion LLC
• Blue Aid Home Care LLC
• Blue Medical Diagnostics East
• Blue Star Medical Transport
• BMG Newark LLC
• BMRR Corp

• General Practice Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.