Active NPI
Zachary Bloom, MA, RDT, LCAT
- Art Therapist
- Montclair, NJ
National Provider Identifier
1952425753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000078
- Practice address
- 370B Claremont Ave Apt 6
Montclair, NJ 07042-1838 - Phone
- (917) 687-6889
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 000078 | NY | Primary |
Addresses
Primary practice location
370B Claremont Ave Apt 6
Montclair, NJ 07042-1838
Mailing address
370B Claremont Ave Apt 6
Montclair, NJ 07042-1838
Phone (917) 687-6889
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329 | Other | NJ | REGISTERED DRAMATHERAPIST |
| 000078 | Other | NY | CREATIVE ART THERAPIST # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000078 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952425753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370B CLAREMONT AVE APT 6",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070421838",
"telephone_number": "917-687-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370B CLAREMONT AVE APT 6",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070421838",
"telephone_number": "917-687-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "ZACHARY",
"name_prefix": "Mr.",
"credential": "MA, RDT, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DRAMATHERAPIST",
"identifier": "329",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREATIVE ART THERAPIST #",
"identifier": "000078",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.