JESSICA BLOOMGARDEN MD PA (NPI# 1558877068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558877068 |
| Entity Type | Organization |
| Organization Name | JESSICA BLOOMGARDEN MD PA |
| Practice Address |
4399 N Nob Hill Rd Sunrise FL 33351-5813 |
| Mailing Address |
109 Montclaire Dr Weston FL 33326-3587 |
| Practice Telephone | 9547461505 |
| Mailing Telephone | 6462659264 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | DR. JESSICA BLOOMGARDEN (PRESIDENT) |
| Authorized Official Telephone | 6462659264 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME116270 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1013158427 | 05 |
| Street Address |
4399 N NOB HILL RD |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134107949 | Lauren L Lerner | Specialist | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2006-01-03 |
| 1699287466 | Reim Michael | Speech-Language Pathologist | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2017-11-01 |
| 1083054126 | Seymour Spine & Rehabilitation | Pain Medicine | 4399 N Nob Hill Rd, Attn: Andrea Henley-seymour, Md, Sunrise, FL 33351-5813 | 2013-07-03 |
| 1851689418 | Suzanne E Green Phd Pa | Psychologist | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2011-07-18 |
| 1437443868 | Raul Cardenas, M.d. P.a. | Physical Medicine & Rehabilitation | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2011-06-02 |
| 1548595192 | Shibu Varughese Md Pa | Internal Medicine | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2009-10-14 |
| 1013158427 | Jessica Bloomgarden | Physical Medicine & Rehabilitation | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2009-03-13 |
| 1528257458 | Scott D Tannenbaum Md Pa | Physical Medicine & Rehabilitation | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2007-10-16 |
| 1588864516 | Dr Niurka Santana & Associates Inc | Psychologist | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2007-07-18 |
| 1598833832 | Suzanne Ellen Green | Psychologist | 4399 N Nob Hill Rd, Sunrise, FL 33351-5813 | 2006-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| Find all providers in zip 33351 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
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| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
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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.