# BLOOM MEDICAL GROUP NJ PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396603817
- **Authorized official:** GABRIEL P SALAS (OFFICE MANGER)
- **Authorized official phone:** (201) 474-7333

## Contact information

- **Practice address:** 9 TOQUET STEET, HASKELL, NJ 07420
- **Practice address phone:** (201) 474-7333
- **Mailing address:** 8 CAMPUS DR STE 105, PARSIPPANY, NJ 07054-4409
- **Mailing address phone:** (201) 474-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | NULL | — |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | — |
| 207RP1002X | Physician Nutrition Specialist (Internal Medicine) | — | NULL | Yes |
| 207RP1002X | Physician Nutrition Specialist (Internal Medicine) | — | — | Yes |
| 2278P1005X | Pulmonary Rehabilitation Certified Respiratory Therapist | — | NULL | — |
| 2278P1005X | Pulmonary Rehabilitation Certified Respiratory Therapist | — | — | — |

## Other

- **Enumeration date:** 01/13/2026
- **Last updated:** 01/13/2026