LAURA BLOOM (NPI# 1013412543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013412543 |
| Entity Type | Individual |
| Full Name | LAURA BLOOM |
| Credential | MD, MS, MBA |
| Practice Address |
185 South Orange Ave Medical Science Building, G-538 Newark NJ 07103 |
| Practice Telephone | 5105893740 |
| Mailing Telephone | 9739724417 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326392531 | Laura Bloom | Social Worker | 23409 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080-3449 | 2012-11-09 |
| 1821233248 | Laura Cohen Bloom | Occupational Therapist | 11720 Sw 122nd Pl, Miami, FL 33186-5033 | 2008-12-15 |
| 1427058775 | Laura H Bloom | Counselor | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2005-07-28 |
| 1356859466 | Laura Lee Bloom | Naturopath | 550 W Indian School Rd Ste 122, Phoenix, AZ 85013-3200 | 2018-01-11 |
| 1194048017 | Laura Bloom | Social Worker | 7350 Heritage Village Plz, Suite 201, Gainesville, VA 20155-3084 | 2010-03-05 |
| 1821119017 | Laura Bloom | Physical Therapist | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-04-03 |
| Street Address |
185 SOUTH ORANGE AVE MEDICAL SCIENCE BUILDING, G-538 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1104455963 | Travis Mok | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-609, Newark, NJ 07103 | 2020-04-03 |
| 1336777416 | Nicholas Colangelo | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, Room I-506, Newark, NJ 07103-2757 | 2020-04-01 |
| 1942760772 | Grace Olivia Tsui | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, Suite G-595, Newark, NJ 07103 | 2019-03-20 |
| 1043717713 | Shivani Agarwal | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb- E506, Newark, NJ 07103 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| 1679008171 | Jennifer M Chui | Student in an Organized Health Care Education/Training Program | 183 S Orange Ave Ste F-1560, Newark, NJ 07103 | 2017-04-22 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165959 | Nikolina Markovic | Student in an Organized Health Care Education/Training Program | 140 Bergen St # I121, Newark, NJ 07103-2425 | 2020-08-17 |
| 1770191413 | Matthias Dunse | Student in an Organized Health Care Education/Training Program | 90 Bergen St # 5200, Newark, NJ 07103-2425 | 2020-07-20 |
| 1659998805 | Alejandra Lazaro | Student in an Organized Health Care Education/Training Program | 35982 Burning Tree Dr, Newark, CA 94560-1530 | 2020-07-02 |
| 1912524968 | Tyson Mellish Anthony | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 | 2020-06-25 |
| 1891319646 | Mary Thi Tran | Student in an Organized Health Care Education/Training Program | 6230 Smith Ave, Newark, CA 94560-4541 | 2020-06-07 |
| 1891319638 | Onoyom O Onyile | Student in an Organized Health Care Education/Training Program | 110 Bergen St Rm C-723, Newark, NJ 07103-2495 | 2020-06-07 |
| 1235750936 | Dave Arnanth Thiyagaram | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 | 2020-05-04 |
| 1619597093 | Naana Boachie | Student in an Organized Health Care Education/Training Program | 11 7th Ave Apt 5c, Newark, NJ 07104-3303 | 2020-04-25 |
| 1447870480 | Hadeel Samy Sadek | Student in an Organized Health Care Education/Training Program | 150 Bergen St # Uhi248, Newark, NJ 07103-2496 | 2020-04-20 |
| 1225657836 | Deneshia Mcintosh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 | 2020-04-14 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.