Organization Active NPI

Bloom Medical Group LLC

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Grand Island, FL
National Provider Identifier
1649140302
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
Legal business name
BLOOM MEDICAL GROUP LLC
Practice address
36624 Grand Island Oaks Cir
Grand Island, FL 32735-9653
Phone
(201) 474-7333
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Gabriel Salas
Title
Manager
Phone
(201) 474-7333

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Cardiopulmonary Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251C2600X
Educational Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278E1000X
Pulmonary Rehabilitation Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1005X Primary
Rehabilitation Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SR0400X

Addresses

Primary practice location

36624 Grand Island Oaks Cir
Grand Island, FL 32735-9653

Mailing address

8 Campus Dr Ste 105
Parsippany, NJ 07054-4409

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1649140302",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36624 GRAND ISLAND OAKS CIR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359653",
            "telephone_number": "201-474-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-474-7333"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278E1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.