Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Immedicenter Bloomfield

Organization Family Medicine Physician · NPI 1023114899

Immedicenter Bloomfield provides Family Medicine Physician services in Bloomfield, New Jersey. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

557 Broad St
Bloomfield, NJ 07003-2885 Not confirmed with CMS for 17 years — call before visiting
Phone: (973) 680-8300
Fax: (973) 743-5601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1023114899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Squirlock — Administrator · (973) 778-5566
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 18, 2009
Mailing address557 Broad St, Bloomfield, NJ 07003-2885

Other providers in Bloomfield