Organization Active NPI

Bloom Medical Group NJ PC

  • Cardiac Rehabilitation Registered Nurse
  • Cliffside Park, NJ
National Provider Identifier
1396603817
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
BLOOM MEDICAL GROUP NJ PC
Practice address
300 Gorge Rd
Suite 11
Cliffside Park, NJ 07010
Phone
(866) 972-8228
Fax
(973) 636-4972
NPI assigned
Jan 13, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Gabriel P Salas
Title
Office Manger
Phone
(201) 474-7333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X Primary
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X

Addresses

Primary practice location

300 Gorge Rd
Suite 11
Cliffside Park, NJ 07010

Mailing address

8 Campus Dr Ste 105
Parsippany, NJ 07054-4409
Phone (201) 474-7333

National Provider Directory

National Provider Directory
Tax ID family
Bloom Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1396603817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CAMPUS DR STE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544409",
            "telephone_number": "201-474-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GORGE RD",
            "address_2": "SUITE 11",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "866-972-8228",
            "fax_number": "973-636-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MEDICAL GROUP NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-10-22",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "201-474-7333"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.