Active NPIOrganization

Immedicenter Bloomfield

Family Medicine in Bloomfield, New Jersey

NPI Number1023114899
Practice location
557 Broad St, Bloomfield, NJ 07003-2885
Fax
973-743-5601
Last updated
March 18, 2009

Immedicenter Bloomfield is a healthcare organization based in Bloomfield, NJ. Immedicenter Bloomfield practices in Bloomfield, NJ. The NPI Number for Immedicenter Bloomfield is 1023114899. The current practice location address for Immedicenter Bloomfield is 557 Broad St, Bloomfield, NJ 07003-2885 and can be reached out via phone at 973-680-8300 and via fax at 973-743-5601.

Provider Profile Details

NPI Number
1023114899
Provider Name
Immedicenter Bloomfield
Provider Entity Type
Organization
Address
557 Broad St, Bloomfield, NJ 07003-2885
Phone Number
973-680-8300
Fax Number
973-743-5601
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Mrs. Maria C Squirlock · Administrator · 973-778-5566
Provider Enumeration Date
September 16, 2006
Last Update Date
March 18, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
557 Broad St
Bloomfield, NJ 07003-2885
Zip
07003-2885
Phone Number
973-680-8300
Fax Number
973-743-5601
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
557 Broad St
Bloomfield, NJ 07003-2885
City
Bloomfield
State
NJ
Zip
07003-2885
Phone Number
973-680-8300
Fax Number
973-743-5601

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Immedicenter Bloomfield?

The NPI number of Immedicenter Bloomfield is 1023114899. It was assigned on September 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Immedicenter Bloomfield?

Immedicenter Bloomfield is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Immedicenter Bloomfield practice?

The practice location is 557 Broad St, Bloomfield, NJ 07003-2885. The office can be reached at 973-680-8300 (phone) or 973-743-5601 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023114899 directly on the NPPES registry website.

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