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JESSICA BLOOMGARDEN MD PA
NPI 1558877068
Clinic/Center - Medical Specialty in Sunrise, FL

Active since December 19, 2017
4399 N NOB HILL RD, SUNRISE, FL 33351(954) 746-1505 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Bloomgarden Md Pa NPPES

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

JESSICA BLOOMGARDEN MD PA (NPI 1558877068) is a healthcare organization registered as a medical specialty in Sunrise, Florida and active in the NPI registry since December 2017. The organization lists Jessica Bloomgarden, President, as its authorized official.

NPPES Registry Identity

NPI1558877068
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJESSICA BLOOMGARDEN MD PA
Location Address4399 N NOB HILL RDSunrise, FL 33351-5813
Mailing Address109 Montclaire DrWeston, FL 33326-3587 · (646) 265-9264
Phone(954) 746-1505
Organization SubpartNo
Authorized OfficialJessica BloomgardenPresident · (646) 265-9264
Enumeration DateDecember 19, 2017
✔ NPI 1558877068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME116270
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4399 N NOB HILL RD, Sunrise, FL 33351
Open in Google Maps ↗

Other Identifiers 1

Medicaid1013158427FL

Other Providers at the Same Location NPPES 20

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

MS. LENETTE BLANCO ARNP
Nurse Practitioner (Family)
4399 N NOB HILL RD
SUNRISE, FL 33351
Broward County (954) 799-6900
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SUNRISE, LLC
Rehabilitation Hospital
4399 N NOB HILL RD
SUNRISE, FL 33351
Broward County (954) 749-0300
DR. LAUREN L LERNER MD
Specialist
4399 N NOB HILL RD
SUNRISE, FL 33351
Broward County (954) 746-1505
MR. YAMEL RODRIGUEZ ARNP
Nurse Practitioner (Family)
4399 N NOB HILL RD
SUNRISE, FL, FL 33351
Broward County (954) 799-6900
MISS CARYN L HAYWOOD MS, RDN, LDN
Dietitian, Registered
4399 N NOB HILL RD
SUNRISE, FL 33351
Broward County (954) 749-0300
REINALDO A. CAMARGO MD
Internal Medicine (Geriatric Medicine)
4399 N NOB HILL RD
SUNRISE, FL 33351
Broward County (954) 799-6900
RAUL CARDENAS, M.D. P.A.
Physical Medicine & Rehabilitation
4399 N NOB HILL RD
SUNRISE, FL 33351
Broward County (305) 630-9244
DR. MEGHAN KELLY JACOBS PSY.D.
Clinical Neuropsychologist
4399 N NOB HILL RD, C/O DR. SANTANA AND ASSOCIATES
SUNRISE, FL 33351
Broward County (954) 315-3405

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 Jessica Bloomgarden MD PA's NPI number?

The NPI number for Jessica Bloomgarden MD PA is 1558877068. It was assigned to this organization in the NPPES registry on December 19, 2017.

Where is Jessica Bloomgarden MD PA located?

Jessica Bloomgarden MD PA is located at 4399 N Nob Hill Rd, Sunrise, FL 33351. The listed phone number is (954) 746-1505.

What is Jessica Bloomgarden MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jessica Bloomgarden MD PA was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.