DR. THOMAS BLOOM (NPI# 1164597290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164597290 |
| Entity Type | Individual |
| Full Name | DR. THOMAS BLOOM |
| Credential | M.D. |
| Practice Address |
6254 97th Pl Suite 2b Rego Park NY 11374-1346 |
| Practice Telephone | 7185951166 |
| Practice Fax Number | 7185951167 |
| Mailing Telephone | 7185951166 |
| Mailing Fax Number | 7185951167 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 167049 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01824886 | 05 | |
| NY | UNITEDHEALTHCARE | 000083377009 | 01 |
| NY | HIP | 167049 | 01 |
| NY | VYTRA | 74747 | 01 |
| NY | DEA | BB0635930 | 01 |
| NY | ANTHEM | 010167049NY01 | 01 |
| NY | ANTHEM | 010167049NY02 | 01 |
| NY | HEALTHNET | 4C1906 | 01 |
| NY | CIGNA | 6628678003 | 01 |
| NY | VYTRA | 73546 | 01 |
| NY | OXFORD | DP093 | 01 |
| NY | UNITEDHEALTHCARE | 000083377007 | 01 |
| NY | GHI | 2697963 | 01 |
| NY | AETNA US HEALTHCARE | 4061374 | 01 |
| NY | EMPIRE HEALTHCHOICE | 487Y21 | 01 |
| NY | EMPIRE HEALTH CHOICE | 487Y22 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780795229 | Thomas Robert Bloom | Dentist | 217 Old Route 22, Pawling, NY 12564 | 2006-08-31 |
| 1811484355 | Thomas Daniel Bloom | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2018-04-19 |
| 1356397772 | Thomas D Bloom | Ophthalmology | 5150 N Port Washington Rd, #251, Milwaukee, WI 53217-5474 | 2006-05-26 |
| Street Address |
6254 97TH PL SUITE 2B |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578668307 | Jodilyn Gingold | Internal Medicine | 6254 97th Pl, Suite 2e, Rego Park, NY 11374-1346 | 2006-09-14 |
| 1437576857 | Sunrise Physical Therapy and Rehabilitation Services | Physical Therapist | 6254 97th Pl, Ste 1a, Rego Park, NY 11374-1346 | 2014-03-24 |
| 1417372970 | Ullas Puthan | Occupational Therapist | 6254 97th Pl, Suite - 1a, Rego Park, NY 11374-1346 | 2014-02-20 |
| 1629219894 | Maroven Physical Therapy LLC | Physical Therapist | 6254 97th Pl, # 60, Rego Park, NY 11374-1346 | 2009-03-17 |
| 1124273768 | Summit Dental, P.C. | Dentist | 6254 97th Pl, Suite C2, Rego Park, NY 11374-1346 | 2008-11-24 |
| 1174773758 | Oskar Gaweda | Obstetrics & Gynecology | 6254 97th Pl, Suite 2e, Rego Park, NY 11374-1346 | 2008-09-19 |
| 1174793392 | Womens Healthcare PC | Obstetrics & Gynecology | 6254 97th Pl, Suite 2e, Rego Park, NY 11374-1346 | 2008-03-04 |
| 1457554768 | Queens Arthroscopy & Sports Medicine | Orthopaedic Surgery | 6254 97th Pl, Rego Park, NY 11374-1346 | 2007-06-06 |
| 1730394750 | John J Hunter Jr. | Dentist | 6254 97th Pl, Suite C2, Rego Park, NY 11374-1346 | 2007-05-12 |
| 1932228350 | Benjamin Ziegler | Dentist | 6254 97th Pl, Suite 2f, Rego Park, NY 11374-1346 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801208954 | Gary Kwokking Mak | Pediatrics | 6325 Saunders St Apt 3a, Rego Park, NY 11374-2009 | 2014-05-23 |
| 1922428531 | Zoya Z Bleyzer | Pediatrics | 98-26 64 Ave, Apt. 5h, Rego Park, NY 11374 | 2014-04-22 |
| 1326485764 | Sammir Rosembett Perez | Pediatrics | 6608 Austin St Apt 3g, Rego Park, NY 11374-4625 | 2013-05-24 |
| 1922172717 | Uri Lavy | Pediatrics | 9851 Queens Blvd, Apt 1k, Rego Park, NY 11374-4362 | 2006-11-20 |
| 1780692749 | Esfira Abramov-piloso | Pediatrics | 6269 99th St, Ste 1a, Rego Park, NY 11374 | 2006-08-04 |
| 1417187097 | Eleonora Khaimova | Pediatrics | 6509 99th St, Rego Park, NY 11374-3570 | 2009-07-17 |
| 1245455633 | Sandhya Jhaveri | Pediatrics | 9525 Queens Blvd, Suite 520, Rego Park, NY 11374-4511 | 2007-04-13 |
| 1053461707 | Daniel Umali | Pediatrics | 8502 66th Rd, Rego Park, NY 11374-5212 | 2007-01-12 |
| 1619024684 | Caritas Pediatric Services P.C. | Pediatrics | 9525 Queens Blvd, Rego Park, NY 11374-4511 | 2007-01-04 |
| 1821163916 | Valerie Lindenfeld Costin | Pediatrics | 6254 97th Pl, Suite 2b, Rego Park, NY 11374-1346 | 2006-11-22 |
| Find all providers in REGO PARK | ||||
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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.