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BLOOMFIELD HOSPITAL PHYSICIANS P.A. NPI 1376543371


NPI Information

NPI: 1376543371
Provider Name: BLOOMFIELD HOSPITAL PHYSICIANS, P.A.
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 31D2252968

Address:
495 NORTH 13TH STREET
NEWARK, NJ
ZIP 07107
Phone: (973) 268-1400
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BLOOMFIELD HOSPITAL PHYSICIANS, P.A. is a general practice in Newark, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BLOOMFIELD HOSPITAL PHYSICIANS, P.A. NPI is 1376543371. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

495 NORTH 13TH STREET
NEWARK, NJ
ZIP 07107-397
Phone: (973) 268-1400

The provider's authorized official is Joseph John Calabro .
The authorized official title is President and has the following contact phone number (732) 212-0060.

The CLIA number assigned to this NPI record is 31D2252968 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18716609MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.