Reena Bloom, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00097900 Issued in NJ

Practice address

75 Summit Ave
Summit, NJ 07901-3614

Phone

(908) 277-6886

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gotlieb Hearing Center Limited Liability CompanyGroup PAC ID 0749407203, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gotlieb Hearing Center Limited Liability Company

  • Audiologist-Hearing Aid Fitter
  • Fair Lawn, NJ
  • NPI 1952729659
  Medicare reassignment Care Compare group NPD
• Gotlieb Hearing Center

  • Audiologist
  • Fair Lawn, NJ
  • NPI 1629419155
  NPD (past)
• Summit Hearing Aid Center LLC

  • Audiologist-Hearing Aid Fitter
  • Summit, NJ
  • NPI 1386709855
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1568969103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013614",
            "telephone_number": "908-277-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013614",
            "telephone_number": "908-277-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "REENA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00097900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Black, AGNP
• Mary Kelly Blakeslee, PH.D.
• Michael Blecker, MD
• Martin Paul Bleckner, DMD
• Katherine Blizzard, LPN
• Neil Sagar Bobba, MBBS
• Elisa Susan Bobrow, PH.D.
• John Bogojovski, FNP-BC
• Peter M Bolo, MD
• Mary C Bolwell

• Audiologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.