Healthcare Provider Details

I. General information

NPI: 1578491965
Provider Name (Legal Business Name): BLOOM PELVIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GRANDVIEW TER
RAMSEY NJ
07446-1623
US

IV. Provider business mailing address

2 GRANDVIEW TER
RAMSEY NJ
07446-1623
US

V. Phone/Fax

Practice location:
  • Phone: 201-669-2135
  • Fax:
Mailing address:
  • Phone: 201-669-2135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA OSSIG
Title or Position: DR
Credential: DPT
Phone: 201-669-2135