DR. MICHELLE EMILY BLOOM (NPI# 1952569873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952569873 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE EMILY BLOOM |
| Credential | MD |
| Practice Address |
3001 Expressway Dr N Islandia NY 11749-5301 |
| Mailing Address |
Po Box 1554 Stony Brook NY 11790-0988 |
| Practice Telephone | 6314449600 |
| Practice Fax Number | 6314449623 |
| Mailing Telephone | 6314440650 |
| Mailing Fax Number | 6316384170 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2011-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
232791 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL LICENSE NUMBER 232791 | 232791 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094419 | Michelle Bloom | Nurse Practitioner | 4020 Morse Xing, Columbus, OH 43219-6037 | 2011-08-16 |
| 1841703444 | Michelle Bloom | Social Worker | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2017-11-06 |
| 1326582719 | Michelle Bloom | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2016-12-05 |
| 1003230764 | Michelle Marie Bloom | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2014-02-14 |
| 1316240385 | Michelle Jordana Bloom | Social Worker | 1651 3rd Ave, Suite 201, New York, NY 10128-3679 | 2010-12-14 |
| Street Address |
3001 EXPRESSWAY DR N |
| City | ISLANDIA |
| State | NY |
| Zip Code | 11749-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466488 | Michele Holly Caccavano | Nurse Practitioner | 3001 Expressway Dr N, Suite A, Islandia, NY 11749-5301 | 2005-09-08 |
| 1033751763 | Kerry Obrien Espinoza | Nurse Practitioner | 3001 Expressway Dr N, Islandia, NY 11749-5301 | 2019-10-15 |
| 1548801020 | Kelly Vanessa Amaya | Nurse Practitioner | 3001 Expressway Dr N, Islandia, NY 11749-5301 | 2019-10-04 |
| 1598153132 | Healthsure Medical Services | Clinic/Center | 3001 Expressway Dr N, Suite 104, Islandia, NY 11749-5301 | 2015-01-06 |
| 1255729802 | Anna Carroll | Nurse Practitioner | 3001 Expressway Dr N, Suite 104, Islandia, NY 11749-5301 | 2015-01-06 |
| 1447660675 | Francesca La Rosa | Family Medicine | 3001 Expressway Dr N, Islandia, NY 11749 | 2014-04-28 |
| 1033453329 | North Shore Lij Ob Gyn PC | Obstetrics & Gynecology | 3001 Expressway Dr N, Islandia, NY 11749-5301 | 2012-11-27 |
| 1003040759 | Advantage Health Care, LLC | Internal Medicine | 3001 Expressway Dr N, Ste 200c, Islandia, NY 11749-5301 | 2009-05-11 |
| 1174763767 | Kao Consulting, LLC | Family Medicine | 3001 Expressway Dr N, Suite 200c, Islandia, NY 11749-5301 | 2009-02-23 |
| 1851538789 | Tracey Gillan | Nurse Practitioner | 3001 Expressway Dr N, Islandia, NY 11749-5301 | 2009-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
| 1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
| 1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| 1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
| 1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
| 1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
| Find all providers in zip 11749 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013451 | Jordan Katz | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-07-11 |
| 1457465023 | Kathleen Stergiopoulos | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-08-19 |
| 1568470300 | Howard Novotny | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-08-04 |
| 1346264553 | Hal Skopicki | Internal Medicine | 3001 Expressway Dr N, Islandia, NY 11749 | 2006-07-27 |
| 1538186002 | Ernst Raeder | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-07-17 |
| 1013932250 | William E Lawson | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-07-12 |
| 1174548333 | Noelle Mann | Internal Medicine | 3001 Expressway Dr N, Islandia, NY 11749 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
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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.