Amanda Eve Immerblum, MS, FNP-BC - Nurse Practitioner in Bloomfield, NJ

Amanda Eve Immerblum, MS, FNP-BC is a Nurse Practitioner - Family based in Bloomfield, New Jersey. Amanda Eve Immerblum is licensed to practice in New Jersey (license number 26NJ15046300) and her current practice location is 256 Broad St, Bloomfield, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 743-4450.

NPI number for Amanda Eve Immerblum is 1023860061 and her current mailing address is 33 Smith Ln, Somers, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023860061.

Contact Information

Amanda Eve Immerblum, MS, FNP-BC
256 Broad St,
Bloomfield, NJ 07003-2766
(973) 743-4450
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Eve Immerblum
GenderFemale
SpecialityNurse Practitioner - Family
Location256 Broad St, Bloomfield, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023860061
  • Provider Enumeration Date: 04/03/2024
  • Last Update Date: 04/03/2024

Medical Identifiers

Medical identifiers for Amanda Eve Immerblum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023860061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 713221 (New York)Secondary
163W00000XRegistered Nurse 26NR24627100 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 353866 (New York)Secondary
363LF0000XNurse Practitioner - Family 26NJ15046300 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Eve Immerblum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Eve Immerblum, MS, FNP-BC
33 Smith Ln,
Somers, NY 10589-1922

Ph: (914) 844-6119
Amanda Eve Immerblum, MS, FNP-BC
256 Broad St,
Bloomfield, NJ 07003-2766

Ph: (973) 743-4450

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.