Organization Active NPI

Dr. Courtney Bloomer, DO, LLC

  • Emergency Medicine Physician
  • Westfield, NJ
National Provider Identifier
1801606652
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DR. COURTNEY BLOOMER, DO, LLC
Practice address
253 Sinclair PL
Westfield, NJ 07090-3121
Phone
(908) 447-2211
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Courtney Bloomer, DONPI 1730341413
Title
Physician/Owner
Phone
(908) 447-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

253 Sinclair PL
Westfield, NJ 07090-3121

Mailing address

253 Sinclair PL
Westfield, NJ 07090-3121
Phone (908) 447-2211

Other names 1

  • Dr. Bloomer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401002841 NJ Part B Supplier - Clinic/Group Practice 2769905660 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2311601Dr Bloomer DO253 Sinclair Place, Westfield, NJ 07090Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1801606652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SINCLAIR PL",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903121",
            "telephone_number": "908-447-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 SINCLAIR PL",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903121",
            "telephone_number": "908-447-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. COURTNEY BLOOMER, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "BLOOMER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "908-447-2211",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bloomer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.