DR. MATTHEW IRA BLOOM (NPI# 1255466843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255466843 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW IRA BLOOM |
| Credential | D.D.S. |
| Practice Address |
123 Waverly Pl 1b New York NY 10011-9147 |
| Practice Telephone | 2124600955 |
| Practice Fax Number | 2124600956 |
| Mailing Telephone | 2124600955 |
| Mailing Fax Number | 2124600956 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
031778 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862393 | Matthew D Bloom | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-03-28 |
| 1891212833 | Matthew F. Bloom | Counselor | Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 | 2017-08-29 |
| 1801273305 | Matthew Lee Bloom | Physical Medicine & Rehabilitation | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2015-05-04 |
| 1548503980 | Matthew Robert Bloom | Social Worker | 1010 Delafield Rd, Pittsburgh, PA 15215-1802 | 2013-04-04 |
| 1538492590 | Matthew Bloom | Counselor | 47 Palomba Dr, Enfield, CT 06082-3868 | 2009-09-09 |
| 1215053624 | Matthew N Bloom | Radiology | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-03-21 |
| 1477631844 | Matthew Brandon Bloom | Surgery | 2505 Samaritan Dr, #504, San Jose, CA 95124-4006 | 2006-11-01 |
| Street Address |
123 WAVERLY PL 1B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10011-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603863 | Sara Lavner | Psychoanalyst | 80 Fith Avenue, Suite 1503, New York City, NY 10011 | 2020-06-15 |
| 1649829219 | Clara Angel Inc. | Counselor | 12 Fifth Avenue, Suite 1f, New York, NY 10011 | 2019-09-06 |
| 1245797786 | Efrat Ginot | Psychologist | 20 W 16th St Ground Floor, New York, NY 10011 | 2019-02-20 |
| 1619441276 | Deify Laser & Beauty Lounge | Specialist | 134 W. 23rd St., New York, NY 10011 | 2019-01-17 |
| 1215408117 | Habitat Specialty Pharmacy, Inc. | Pharmacy | Habitat Specialty Pharmacy, Inc, 171 Seventh Ave, New York, NY 10011 | 2018-12-17 |
| 1518437136 | Melissa Kate Mcintosh, Inc. | Counselor | 167 W. 21st St., #3se, Ny, NY 10011 | 2018-11-26 |
| 1700367851 | Chana Zigelboym | Speech-Language Pathologist | 353 W 17th St, New York, NY 10011 | 2018-08-27 |
| 1376042358 | Claudia Eleanore Lament | Social Worker | 31 Washington Square West, Pha, New York, NY 10011 | 2018-02-06 |
| 1023527611 | Linda Jacobs | Psychologist | 96 5th Avenue, Sutie 1d, New York, NY 10011 | 2017-09-26 |
| 1861919359 | Ireen Miras Ninonuevo | Social Worker | 80 5th Ave Ofc 2004-6, New York, NY 10011 | 2017-08-24 |
| Find all providers in zip 10011 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| 1518527001 | Rachel Margaret George | Dentist | 400 E 67th St Apt 26c, New York, NY 10065-6340 | 2019-06-17 |
| 1134788706 | Nada Samra | Dentist | 1 River Pl Apt 1516, New York, NY 10036-4371 | 2019-06-07 |
| 1447729108 | Xiaoqian Ye | Dentist | 345 E 94th St Apt 8g, New York, NY 10128-5689 | 2018-11-24 |
| 1093283012 | Sae Rom Yoon | Dentist | 16 E 52nd St Ste 800, New York, NY 10022-5351 | 2018-11-07 |
| 1083189252 | Sound Dental Pllc | Dentist | 42 Lafayette St, New York, NY 10013-4043 | 2018-10-03 |
| 1871074450 | Chase Thompson | Dentist | 790 Riverside Dr Apt 2k, New York, NY 10032-7433 | 2018-08-22 |
| 1154807451 | Otto J Rodriguez | Dentist | 651 W 171st St Apt 27, New York, NY 10032-3025 | 2018-07-19 |
| Find all providers in NEW YORK | ||||
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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.