MS. ENID DENISE BLOOM (NPI# 1376585570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376585570 |
| Entity Type | Individual |
| Full Name | MS. ENID DENISE BLOOM |
| Credential | MS RD CDN |
| Practice Address |
179th Street and Linden Blvd St. Albans NY 11425 |
| Mailing Address |
198 Wellington Rd S Garden City NY 11530-5519 |
| Practice Telephone | 7185261000 |
| Mailing Telephone | 5165640186 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
001217 | NY | Dietary & Nutritional Service Providers |
| Street Address |
179TH STREET AND LINDEN BLVD |
| City | ST. ALBANS |
| State | NY |
| Zip Code | 11425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184680050 | Jason Arthungal | Physical Therapist | 179th Street and Linden Blvd, St. Albans, NY 11425-0001 | 2006-04-21 |
| 1306001946 | Susan Diamond | Occupational Therapist | 179th Street and Linden Blvd, St. Albans, NY 11425 | 2008-07-23 |
| 1215192851 | Luiza Aminov | Occupational Therapist | 179th Street and Linden Blvd, St. Albans, NY 11425 | 2008-07-23 |
| 1871559906 | Boris Smaris | Physical Therapist | 179th Street and Linden Blvd, St. Albans, NY 11425-0001 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982148094 | Michael Shepherd | Social Worker | 179-00 Linden Blvd. Bldg 91 Rm E241, St. Albans E.c.c./dept. of Va, St. Albans, NY 11425 | 2016-12-08 |
| 1629307905 | Mary E Koyl | Social Worker | 179th St and Linden Blvd, St Albans, NY 11425 | 2009-12-15 |
| 1730339805 | Ashleigh Pegg | Contractor | 179th St & Linden Blvd, St. Albans, NY 11425 | 2008-09-25 |
| 1083875470 | Sylvia Myers | Registered Nurse | 179 St. Linden Bivd., St. Albans, NY 11425 | 2008-06-19 |
| 1801074364 | Georgia Mae Dingle | Rehabilitation Counselor | 179 Street Linden Blvd, St. Albans, NY 11425 | 2008-02-07 |
| 1265584114 | Juanita Delgado | Occupational Therapy Assistant | 179 St. Linden Blvd., St.albans, NY 11425 | 2007-01-18 |
| 1063506509 | Phyllis A Filgate | Dietitian, Registered | 179th Street & Linden Blvd, St. Albans, NY 11425 | 2006-10-02 |
| 1982700233 | Simion Zelicof | Dermatology | 179--00 Linden Blvd, Jamaica, NY 11425 | 2006-09-15 |
| 1801823034 | Elizabeth Anne Cancellara | Social Worker | 179th Street Linden Blvd, St. Albans, NY 11425 | 2006-06-26 |
| 1366491037 | Sonsare Gurley | Physician Assistant | 179-01 Linden Blvd, Ny, NY 11425 | 2006-05-09 |
| Find all providers in zip 11425 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908832 | Natalie Rae Palumbo | Nutritionist | 380 Hill St, Southampton, NY 11968-5327 | 2020-10-05 |
| 1912516972 | Sophia Aslanis | Nutritionist | 57 W 57th St Ste 900, New York, NY 10019-2813 | 2020-07-27 |
| 1225652357 | Amanda Dipietro | Nutritionist | 123 Hope St Apt 2l, Brooklyn, NY 11211-3984 | 2020-06-04 |
| 1366063232 | Nyc Naturally, Inc. | Nutritionist | 792 Route 35, Cross River, NY 10518-1118 | 2020-05-02 |
| 1992324578 | Kelly Brock | Nutritionist | 1 Ireland Pl, Amityville, NY 11701-2955 | 2020-04-13 |
| 1740828847 | Evelina Sodt | Nutritionist | 65 Main St Fl 1, Warwick, NY 10990-1346 | 2019-12-19 |
| 1891332276 | Emily Wallis | Nutritionist | 315 Oakwood St, Rome, NY 13440-3806 | 2019-12-05 |
| 1639713969 | Ilana Lauer | Nutritionist | 759 Wilson Ct, Valley Stream, NY 11581-3531 | 2019-10-30 |
| 1558917591 | Helenica Yusuf | Nutritionist | 1 Brookdale Plaza 2acc- Q Rm 229-e, Brooklyn, NY 11212-3198 | 2019-08-15 |
| 1386101178 | Melissa Danielle O'shea | Nutritionist | 109 Manitou Trl, Kings Park, NY 11754-4550 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | ST. ALBANS |
| Zip Code | 11425 |
Please comment or provide details below to improve the information on MS. ENID DENISE BLOOM.
| 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.