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DR. EMANUEL M. DICICCO-BLOOM MD
NPI 1578658720
Pediatrics - Neurodevelopmental Disabilities in New Brunswick, NJ

Active since October 04, 2006PECOS Enrolled
89 FRENCH ST STE 2300, NEW BRUNSWICK, NJ 08901(732) 235-7875(732) 235-6620 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Emanuel M. Dicicco-bloom Md NPPES

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

DR. EMANUEL M. DICICCO-BLOOM MD (NPI 1578658720) is an individual neurodevelopmental disabilities provider in New Brunswick, New Jersey, licensed in New Jersey (25MA05478100) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1578658720
Entity TypeIndividualMale
Primary Taxonomy2080P0008X
Provider Legal NameDR. EMANUEL M. DICICCO-BLOOMCredential: MD
Location Address89 FRENCH ST STE 2300New Brunswick, NJ 08901-1935
Mailing Address66 West Gilbert StRed Bank, NJ 07701 · (732) 212-0051 · Fax (732) 212-0713
Phone(732) 235-7875
Fax(732) 235-6620
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1578658720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
Licenses✔ Licensed in NJ · 25MA05478100✔ Licensed in NJ · MA54781
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
89 FRENCH ST STE 2300, New Brunswick, NJ 08901
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928 · Phone (732) 828-3000

Other Identifiers 1

Medicaid0870706NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emanuel M. Dicicco-bloom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emanuel Dicicco-bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Scleroderma Program
Same address
Adolescent Medicine
89 FRENCH ST, SUITE 2300
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1023055738 (732) 235-6230

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

Other Providers at the Same Location NPPES 5

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

KYLIE KATZ MS
Genetic Counselor, MS
89 FRENCH ST STE 2300
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 272-6442
DR. AMISHA MALHOTRA MD
Pediatrics (Pediatric Infectious Diseases)
89 FRENCH ST STE 2300
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7894
ANISHA MOHANDAS MD
Pediatrics
89 FRENCH ST STE 2300
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6230
SUNANDA GAUR
Pediatrics (Pediatric Infectious Diseases)
89 FRENCH ST STE 2300
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7894
MELISSA WEIDNER M.D.
Pediatrics (Pediatric Gastroenterology)
89 FRENCH ST STE 2300
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7885

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 Emanuel Dicicco-bloom's NPI number?

The NPI number for Emanuel Dicicco-bloom is 1578658720. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Emanuel Dicicco-bloom located?

Emanuel Dicicco-bloom practices at 89 French St Ste 2300, New Brunswick, NJ 08901. The listed phone number is (732) 235-7875.

What is Emanuel Dicicco-bloom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Emanuel Dicicco-bloom enrolled in Medicare?

Yes. Emanuel Dicicco-bloom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emanuel Dicicco-bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emanuel Dicicco-bloom reassigns Medicare benefits to Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ). The 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 Emanuel Dicicco-bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emanuel Dicicco-bloom accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Emanuel Dicicco-bloom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emanuel Dicicco-bloom was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.