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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLOOM MEDICAL GROUP NJ PC
NPI 1396603817
Registered Nurse - Cardiac Rehabilitation in Cliffside Park, NJ

Active since January 13, 2026
300 GORGE RD, SUITE 11, CLIFFSIDE PARK, NJ 07010(866) 972-8228(973) 636-4972 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bloom Medical Group Nj Pc NPPES

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

BLOOM MEDICAL GROUP NJ PC (NPI 1396603817) is a healthcare organization registered as a cardiac rehabilitation in Cliffside Park, New Jersey and active in the NPI registry since January 2026. The organization lists Gabriel P Salas, Office Manger, as its authorized official.

NPPES Registry Identity

NPI1396603817
Entity TypeOrganization
Primary Taxonomy163WC3500X
Legal Business NameBLOOM MEDICAL GROUP NJ PC
Location Address300 GORGE RD, SUITE 11Cliffside Park, NJ 07010
Mailing Address8 Campus Dr Ste 105Parsippany, NJ 07054-4409 · (201) 474-7333
Phone(866) 972-8228
Fax(973) 636-4972
Organization SubpartNo
Authorized OfficialGabriel P SalasOffice Manger · (201) 474-7333
Enumeration DateJanuary 13, 2026
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedDecember 18, 2025
✔ NPI 1396603817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Cardiac RehabilitationNursing Service Providers
Taxonomy Code163WC3500X
Also ListedRespiratory Therapist, Certified · Pulmonary RehabilitationTaxonomy 2278P1005X
300 GORGE RD, Cliffside Park, NJ 07010
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloom Medical Group Nj Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bloom Medical Group Nj PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Allen Blaivas, DO
Pulmonary Disease
NPI 1104830397
1111 AMSTERDAM AVE
New York, NY 10025
(212) 523-4000
✔ PECOS1.6 mi
Vikas Desai, MD
Internal Medicine
NPI 1922069012
45 E MAIN ST
East Islip, NY 11730
(631) 581-0737
✔ PECOS✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bloom Medical Group Nj PC's NPI number?

The NPI number for Bloom Medical Group Nj PC is 1396603817. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Bloom Medical Group Nj PC located?

Bloom Medical Group Nj PC is located at 300 Gorge Rd Suite 11, Cliffside Park, NJ 07010. The listed phone number is (866) 972-8228.

What is Bloom Medical Group Nj PC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Cardiac Rehabilitation, with taxonomy code 163WC3500X.

Is Bloom Medical Group Nj PC enrolled in Medicare?

Yes. Bloom Medical Group Nj PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Medical Group Nj PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bloom Medical Group Nj PC, in Internal Medicine and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Medical Group Nj PC was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.