MITCHELL BLOOM (NPI# 1467853408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467853408 |
| Entity Type | Individual |
| Full Name | MITCHELL BLOOM |
| Credential | D.M.D. |
| Practice Address |
880 5th Ave Suite 1-g New York NY 10021-4951 |
| Practice Telephone | 2123272623 |
| Mailing Telephone | 2123272623 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
045016 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
| Street Address |
880 5TH AVE SUITE 1-G |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518917988 | Edward C Muecke | Urology | 880 5th Ave, New York, NY 10021-4951 | 2006-05-10 |
| 1487064499 | Vip Dermatology | Specialist | 880 5th Ave, New York, NY 10021-4951 | 2014-04-29 |
| 1679754899 | Anne Kossowan | Dentist | 880 5th Ave, New York, NY 10021-4951 | 2007-11-15 |
| 1487864120 | Frank Celenza | Dentist | 880 5th Ave, New York, NY 10021-4951 | 2007-05-23 |
| 1366507394 | Karlene Pamela Marie Chin Quee | Obstetrics & Gynecology | 880 5th Ave, Suite 1h, New York, NY 10021-4951 | 2006-12-27 |
| 1366513194 | Mitchell J. Bloom, D.m.d., P.C. | Clinic/Center | 880 5th Ave, Suite 1-g, New York, NY 10021-4951 | 2006-11-13 |
| 1124056692 | New York Urological Associates PC | Clinical Medical Laboratory | 880 5th Ave, New York, NY 10021-4951 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| 1902265036 | City Dentistry | Dentist | 2090 7th Ave Ground Floor, New York, NY 10027-4990 | 2016-02-17 |
| 1134519150 | Alexander Volchonok | Dentist | 135 W 96th St Apt 10e, New York, NY 10025-6437 | 2015-01-28 |
| 1073911988 | Hankyu Cho | Dentist | 50 Haven Ave. Mbg20, New York, NY 10032 | 2014-12-09 |
| 1851794978 | Matthew Parker Hickin | Dentist | 14 Bedford St, Apt 5, New York, NY 10014-4717 | 2014-10-02 |
| 1285981928 | Jin Wang | Dentist | 10 Waterside Plz Apt 12a, New York, NY 10010-2698 | 2012-08-13 |
| 1447506100 | Jeremy Seth Nehleber | Dentist | 531 E 20th St Apt 9f, New York, NY 10010-7610 | 2012-07-31 |
| 1629336664 | Yes Dental of Ny, Pllc | Dentist | 1420 St. Nicholas Ave, 2 Fl, New York, NY 10033-4050 | 2012-04-27 |
| 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.