DR. CAITLYN ILYSSA BLOOM (NPI# 1831610492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831610492 |
| Entity Type | Individual |
| Full Name | DR. CAITLYN ILYSSA BLOOM |
| Credential | PHARMD |
| Practice Address |
10 Parsonage Rd Edison NJ 08837 |
| Mailing Address |
280 River Rd Apt 108b Piscataway NJ 08854-3538 |
| Practice Telephone | 6313555313 |
| Mailing Telephone | 6313555313 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03812000 | NJ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 062713I | NY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 Grand Concourse, Bronx, NY 104577606 | 6313555313 |
| Street Address |
10 PARSONAGE RD |
| City | EDISON |
| State | NJ |
| Zip Code | 08837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720049232 | Todd C Ryan | Orthopaedic Surgery | 10 Parsonage Rd, Fifth Floor, Suite 500, Edison, NJ 08837-2429 | 2006-04-01 |
| 1003416280 | Moyanda Pierre | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-10-28 |
| 1942839683 | Siji J Devasia | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-04-04 |
| 1396379269 | Christina Johanna Patskin | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-02-28 |
| 1346870284 | Taylor M Romano | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-01-20 |
| 1235777285 | Chandni Patel | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2019-12-19 |
| 1033675269 | Stephanie Rodriguez-acosta | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2019-02-12 |
| 1053889337 | Leanna A Haynes | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2018-11-05 |
| 1013482330 | Johanie Bayard | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2018-10-13 |
| 1629543335 | Ana Laura Garaicoa | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
| 1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
| 1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
| 1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
| 1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
| Find all providers in zip 08837 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1083228894 | Ritu A Patel | Pharmacist | 13 Henry St, Edison, NJ 08820-2817 | 2020-08-31 |
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1629691589 | Shameem Kamra | Pharmacist | 49 Guisborough Way, Edison, NJ 08820-4629 | 2020-05-26 |
| 1821647603 | Manan Nileshkumar Shah | Pharmacist | 170 White Birch Rd, Edison, NJ 08837-2041 | 2019-09-05 |
| 1154898153 | Sudip Vinodbhai Darji | Pharmacist | 1 Dayton Dr Apt 12d, Edison, NJ 08820-3412 | 2018-10-28 |
| 1023526316 | Rajkumar Aerroju | Pharmacist | 289 Parsonage Rd, Edison, NJ 08837-2106 | 2018-01-20 |
| 1386155836 | Nishit H Shah | Pharmacist | 1700 Oak Tree Rd Ste 1, Edison, NJ 08820-2854 | 2017-10-23 |
| 1770009094 | Donna Susan Wink | Pharmacist | 3 Nightingale St, Edison, NJ 08820-2751 | 2017-08-17 |
| 1417496860 | Ningrong Zhang | Pharmacist | 1653 Lincoln Hwy Unit 2, Edison, NJ 08817-3484 | 2017-02-17 |
| Find all providers in EDISON | ||||
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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.