DAVID BLOOM (NPI# 1417261785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417261785 |
| Entity Type | Individual |
| Full Name | DAVID BLOOM |
| Credential | M.D. |
| Practice Address |
136 Beach 117th St #513 Rockaway Park NY 11694-2079 |
| Practice Telephone | 5166034827 |
| Mailing Telephone | 5166034827 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2015-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 258003 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417234782 | David Bloom | Pharmacist | 3020 Warbler Pl, Highland Park, IL 60035-1267 | 2011-11-14 |
| 1205048584 | David Alan Bloom | Dentist | 2910 Orchard Pl, Orchard Lake, MI 48324-2356 | 2007-05-07 |
| 1316073901 | David L Bloom | Radiology | 600 Federal St, Andover, MA 01810-1039 | 2007-02-26 |
| 1104874759 | David Isaac Bloom | Internal Medicine | 5350 W Atlantic Ave, Ste 100, Delray Beach, FL 33484-8112 | 2006-05-05 |
| 1215996038 | David Charles Bloom | Otolaryngology | 2121 Ne 139th Street, Suite 245, Vancouver, WA 98686 | 2006-03-21 |
| 1356344683 | David Marshall Bloom | Internal Medicine | 2841 Lomita Blvd, Suite 215, Torrance, CA 90505-5116 | 2005-05-31 |
| 1598129850 | David Louis Bloom | Pediatrics | 1 Childrens Place Cb 8116, Saint Louis, MO 63110 | 2016-04-12 |
| 1336468461 | David A Bloom | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2010-05-28 |
| 1659582419 | David I. Bloom Jr. | Dentist | 1060 Day Hill Rd, Windsor, CT 06095-5719 | 2007-05-24 |
| 1417005737 | David R Bloom | Family Medicine | 17822 Beach Blvd, #325, Huntington Beach, CA 92647 | 2007-01-05 |
| Street Address |
136 BEACH 117TH ST #513 |
| City | ROCKAWAY PARK |
| State | NY |
| Zip Code | 11694-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790083533 | Denise Cameron | Occupational Therapist | 136 Beach 117th St, Apt. 312, Rockaway Park, NY 11694-2079 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775941 | Shrok Sayed Elsayed | Physical Therapist | 234 Beach 124th St, Rockaway Park, NY 11694 | 2019-11-18 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1275026684 | Aba Tree | Behavioral Analyst | 142 B120 Street, Rockaway Street, NY 11694 | 2018-06-11 |
| 1235640855 | Rockaways Asc Development, LLC. | Clinic/Center | 105-20 Rockaway Beach Blvd, Suite 301, Rockaway Park, NY 11694 | 2017-10-23 |
| 1841721479 | Mary Mongelli | Behavioral Analyst | 414 Beach124 Street, Belle Harbor, NY 11694 | 2017-03-24 |
| 1033659495 | Tri Center | Community/Behavioral Health | 2488 Grand Concourse Suite 417, Bronx, NY 11694 | 2017-03-06 |
| 1083079446 | Bernadette Favard | Licensed Practical Nurse | 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 | 2015-12-29 |
| 1801231808 | Matthew Tagliavia | Pharmacist | 449 Beach 129th St, Belle Harbor, NY 11694 | 2013-05-03 |
| 1831445436 | Megan Leigh Hill | Social Worker | 140 Beach 112th St, Rockaway Park, NY 11694 | 2012-08-01 |
| 1710241112 | Scott Blutstein | Specialist | 411 Beach 133 Street, Rockaway Park, NY 11694 | 2012-06-29 |
| Find all providers in zip 11694 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
| City | ROCKAWAY PARK |
| Zip Code | 11694 |
Please comment or provide details below to improve the information on DAVID 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.