CHARLES I BLOOMGARDEN


Address: 755 Park Ave, Ste 100, Huntington, NY 11743-3972
Phone: 6312230400

CHARLES I BLOOMGARDEN (NPI# 1467484519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467484519
Entity Type Individual
Full Name CHARLES I BLOOMGARDEN
Credential MD
Practice Address 755 Park Ave
Ste 100
Huntington
NY 11743-3972
Practice Telephone 6312230400
Practice Fax Number 6314212689
Mailing Telephone 6312230400
Mailing Fax Number 6314212689
Enumeration Date 2006-07-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 0860641 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 001S25908 05
NY WORKER COMP # C0213283 01
HIP ID 200501P 01
GHI PIN BC945100 01
OXFORD ID C3970 01

Office Location

Street Address 755 PARK AVE
STE 100
City HUNTINGTON
State NY
Zip Code 11743-3972

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477548261 Daniel Warren Sherer Specialist 755 Park Ave, Suite 500, Huntington, NY 11743-3975 2005-09-17
1053762351 Eleonora Z. Kuzma Psychologist 755 Park Ave, Suite 140, Huntington, NY 11743-3975 2016-06-28
1295191153 Cassandra Ann D'accordo Psychologist 755 Park Ave, Suite 140, Huntington, NY 11743-3975 2016-01-07
1770990574 Marika Chikvashvili Dentist 755 Park Ave, Suite 180, Huntington, NY 11743-3975 2014-07-14
1568878593 Dr Jesse Contovasilis Md PC Psychiatry & Neurology 755 Park Ave, Suite 140, Huntington, NY 11743-3975 2014-07-10
1740545748 Eugene T Foley Social Worker 755 Park Ave, Suite 140, Huntington, NY 11743-3975 2012-07-06
1538421946 Sarala K Reddy Md. PC. Psychologist 755 Park Ave, Suite 120, Huntington, NY 11743 2012-06-12
1689933368 Virmani Psychiatry Pllc Psychiatry & Neurology 755 Park Ave, Ste 140, Huntington, NY 11743-3975 2012-05-15
1811263429 Julian M. Herskowitz Ph.d., Psychologist, P.C. Psychologist 755 Park Ave, Suite 140, Huntington, NY 11743-3975 2012-03-28
1801115423 Jesse Arthur Contovasilis Psychiatry & Neurology 755 Park Ave, Suite 140, Huntington, NY 11743-3975 2010-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447896477 Peter C Gaal Behavioral Analyst 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 2019-11-25
1902389299 Taylor Bliss Dambrosio Early Intervention Provider Agency 38 Carnegie Ave, Huntington, NY 11743 2018-09-12
1639601750 Speech and Hearing Services Clinic/Center 17 Brooks Ave Unit1, Huntington, NY 11743 2017-03-29
1174983456 Helene Falcone Registered Nurse 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 2016-03-01
1124499470 Thomas Hlenski Social Worker 4 Richard Lane, Huntington, NY 11743 2015-10-13
1174921308 Jeanne Ginsberg Counselor 81 Knollwood Avenue, Huntington, NY 11743 2014-12-22
1770980534 Emily Ann Sombke Physician Assistant 249 Manor Rd., Huntington, NY 11743 2014-11-21
1881096162 Applied Health Chiropractic Chiropractor 12 Ash Pl, Huntington, NY 11743 2014-09-18
1265857643 Ccs Medical Practice, Pllc Public Health or Welfare 17 Southdown Road, Huntington, NY 11743 2014-02-21
1255760682 Ekaterina Femminella Acupuncturist 181 Main St Ste 105, Huntington, NY 11743 2013-11-06
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932471364 Robert Lawrence Dunworth Ophthalmology 30 West Sixth Avenue, Suite 106, Huntington, WV 25701-1700 2012-02-01
1740375047 Adam Harry Bloom Ophthalmology 1700 East Jericho Turnpike, Huntington, NY 11743 2006-10-03
1164539748 Eye Care Inc Ophthalmology 1508 Sixth Ave, Huntington, WV 25701 2006-08-23
1376557918 Dale Blake Lilly Ophthalmology 2823 3rd Ave, Huntington, WV 25702-1423 2006-07-28
1801822242 Tully Stephen Roisman Ophthalmology 1151 Hal Greer Blvd, Huntington, WV 25701-3705 2006-06-25
1760421556 Joseph Anthony Locascio IIi Ophthalmology 5170 Us Route 60 East, Huntington, WV 25705 2006-06-06
1134198435 James W. Gigantelli Jr. Ophthalmology 5187 Us Route 60 Ste 6, Huntington, WV 25705-2076 2006-03-17
1235106279 Dina Christina Blom Ophthalmology 1508 6th Ave, Huntington, WV 25701-2902 2006-03-08
1578548178 Charles David Francis Ophthalmology 5187 Us Route 60 E, Suite 6, Huntington, WV 25705-2076 2005-12-07
1265437263 Craig Michael Morgan Ophthalmology 1611 13th Ave, Huntington, WV 25701-3811 2005-06-16
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Competitor

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City HUNTINGTON
Zip Code 11743

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Dataset Information

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.

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