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IMMEDICENTER BLOOMFIELD
NPI 1023114899
Family Medicine in Bloomfield, NJ

Active since September 16, 2006
557 BROAD ST, BLOOMFIELD, NJ 07003(973) 680-8300(973) 743-5601 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Immedicenter Bloomfield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMEDICENTER BLOOMFIELD (NPI 1023114899) is a healthcare organization registered as a family medicine in Bloomfield, New Jersey and active in the NPI registry since September 2006. The organization lists Maria C Squirlock, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023114899
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMMEDICENTER BLOOMFIELD
Location Address557 BROAD STBloomfield, NJ 07003-2885
Mailing Address557 Broad StBloomfield, NJ 07003-2885 · (973) 680-8300 · Fax (973) 743-5601
Phone(973) 680-8300
Fax(973) 743-5601
Organization SubpartNo
Authorized OfficialMaria C SquirlockAdministrator · (973) 778-5566
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 18, 2009
✔ NPI 1023114899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
557 BROAD ST, Bloomfield, NJ 07003
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Other Identifiers 3

Medicare ID-Type Unspecified463019NJ · Medicare Group Number
Medicare NSC0995980001NJ
OtherCB4172NJ · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MICHELE WEISBERGER RD
Dietitian, Registered
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 680-8300
DR. PARUL S. AMIN M.D.
Internal Medicine
557 BROAD ST, RM 22
BLOOMFIELD, NJ 07003
Essex County (973) 667-6650
ASTIR PHYSICAL THERAPY AND WELLNESS LLC
Physical Therapist
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 404-1800
MRS. ELIZABETH JANETTE VANDYK DNP, RN, FNP-C
Nurse Practitioner (Adult Health)
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 680-8300
DR. MICHAEL WILLIAM FREDA DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 748-2248
MPV NEW JERSEY MD SERVICES PC
Durable Medical Equipment & Medical Supplies
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 778-5566
JOEL KIM
Physical Therapist
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 404-7067
FREDA & SURIANO ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 748-2248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immedicenter Bloomfield's NPI number?

The NPI number for Immedicenter Bloomfield is 1023114899. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Immedicenter Bloomfield located?

Immedicenter Bloomfield is located at 557 Broad St, Bloomfield, NJ 07003. The listed phone number is (973) 680-8300.

What is Immedicenter Bloomfield's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Immedicenter Bloomfield was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.