DR. MICHAEL LLOYD BLOOM (NPI# 1861611543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861611543 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LLOYD BLOOM |
| Credential | D.D.S. |
| Practice Address |
875 Park Ave Suite 1e New York NY 10021-0341 |
| Practice Telephone | 2128613033 |
| Practice Fax Number | 2128613630 |
| Mailing Telephone | 2128613033 |
| Mailing Fax Number | 2128613630 |
| Enumeration Date | 2007-04-24 |
| 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 |
024369 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427397413 | Michael Bloom | Physical Therapist | 2438 Bowers St Nw, Uniontown, OH 44685-6653 | 2013-02-11 |
| 1366527780 | Michael Aaron Bloom | Dentist | 9928 N Government Way, Hayden, ID 83835-9604 | 2006-10-25 |
| 1821197591 | Michael Gary Bloom | Neuromusculoskeletal Medicine, Sports Medicine | 15243 Van Owen St #403, Van Nuys, CA 91405 | 2006-09-21 |
| 1790703700 | Michael David Bloom | Dentist | 316 Wesley Ave, Ocean City, NJ 08226-4039 | 2006-07-17 |
| 1538149893 | Michael Steven Bloom | Dentist | 4154 Hicksville Rd, Bethpage, NY 11714-6216 | 2006-01-20 |
| 1477530392 | Michael V Bloom | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2005-12-30 |
| 1982606430 | Michael Bloom | Family Medicine | 8995 Main St, Clarence, NY 14031-1927 | 2005-08-15 |
| 1336594456 | Michael Allen Bloom II | Speech-Language Pathologist | 4150 Clement St # 126, San Francisco, CA 94121-1545 | 2016-04-26 |
| 1710094503 | Michael M Bloom | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-08-25 |
| 1639128689 | Michael Scott Bloom | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-05-08 |
| Street Address |
875 PARK AVE SUITE 1E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-0341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578945325 | Bernice Wong | Dentist | 875 Park Ave, Suite 1e, New York, NY 10075-0382 | 2015-06-28 |
| 1760810808 | Park Avenue Medical Suite | Clinic/Center | 875 Park Ave, Suite 1f, New York, NY 10075-0382 | 2013-10-29 |
| 1790964229 | Beraka Md Plastic Surgery Pllc | Plastic Surgery | 875 Park Ave, New York, NY 10075-0341 | 2007-11-01 |
| 1841412483 | Stephen M. Warren, Md, PC | Plastic Surgery | 875 Park Ave, Suite 1f, New York, NY 10075-0382 | 2007-05-03 |
| 1821137191 | Masood Khatamee | Specialist | 875 Park Ave, New York, NY 10021-0341 | 2007-02-05 |
| 1043362957 | Glenn W. Jelks | Specialist | 875 Park Ave, New York, NY 10075-0382 | 2007-01-18 |
| 1043360910 | George Joseph Beraka | Plastic Surgery | 875 Park Ave, New York, NY 10021-0341 | 2007-01-11 |
| 1467501239 | Rachel Tamara Parker | Physician Assistant | 875 Park Ave, New York, NY 10021-0341 | 2007-01-09 |
| 1861592479 | Stephen Warren | Plastic Surgery | 875 Park Ave, Suite 1f, New York, NY 10075-0382 | 2006-09-24 |
| 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 | 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.