RONALD JEFFREY BLOOM (NPI# 1548238835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548238835 |
| Entity Type | Individual |
| Full Name | RONALD JEFFREY BLOOM |
| Credential | M.D. |
| Practice Address |
711 Cottage Grove Rd Cottage Grove Cardiology Bloomfield CT 06002-3060 |
| Practice Telephone | 8602428756 |
| Practice Fax Number | 8602423052 |
| Mailing Telephone | 8602428756 |
| Mailing Fax Number | 8602423052 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
025827 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RAILROAD MEDICARE | 060005792 | 01 |
| CT | 001258276 | 05 | |
| CT | MEDICARE | 060000233 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033323548 | Ronald M Bloom | Dentist | 140 Lockwood Ave, New Rochelle, NY 10801 | 2007-05-10 |
| 1134208705 | Ronald S. Bloom | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-11-03 |
| 1659353779 | Ronald A Bloom | Internal Medicine | 2501 Compass Rd, Ste 130, Glenview, IL 60026-8000 | 2005-11-15 |
| 1740275023 | Ronald Bloom | Internal Medicine | 8205 E 56th St, Suite 250, Indianapolis, IN 46216-1003 | 2005-09-13 |
| Street Address |
711 COTTAGE GROVE RD COTTAGE GROVE CARDIOLOGY |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883709 | Gabriella Elizabeth Smith | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2005-07-05 |
| 1437793098 | Alyssa Porter | Nurse Practitioner | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2019-11-06 |
| 1740832039 | Danielle Klimowicz | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2019-07-16 |
| 1730569740 | Jason M. Cornelio | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2015-06-04 |
| 1134528946 | Lynne Benjamin | Nurse Practitioner | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2014-08-18 |
| 1659611978 | Melanie Dulce Ricafort | Nurse Practitioner | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2013-02-22 |
| 1487985065 | Erin M Vincent | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2010-01-21 |
| 1013144369 | Tracy E Patel | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2009-06-14 |
| 1861688772 | Brett Nowlan | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2007-09-25 |
| 1205035516 | Aileen Ingal | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002 | 2007-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| 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 |
|---|---|---|---|---|
| 1720095383 | Bart Degregorio and Gilbert Carlevaro Ptrs Echo Echo | Internal Medicine | 733 Bloomfield Ave., Bloomfield, NJ 07003 | 2006-08-03 |
| 1689607103 | Lawrence Farid Mahdi | Internal Medicine | 329 Belleville Ave, Bloomfield, NJ 07003-3600 | 2006-07-08 |
| 1710935002 | Cottage Grove Cardiology, P.C. | Internal Medicine | 711 Cottage Grove Road, Bloomfield, CT 06002-3060 | 2006-05-05 |
| 1417938002 | Milton E Landman | Internal Medicine | 1185 Broad St, Bloomfield, NJ 07003-2934 | 2005-11-10 |
| 1235437534 | Comprehensive Cardiac Services of Nj LLC | Internal Medicine | 135 Bloomfield Ave, Suite F, Bloomfield, NJ 07003-5902 | 2011-03-10 |
| 1821316274 | Maria Theresa Santos | Internal Medicine | 711 Cottage Grove Road, Bloomfield, CT 06002-3060 | 2010-05-10 |
| 1013144369 | Tracy E Patel | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2009-06-14 |
| 1861688772 | Brett Nowlan | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2007-09-25 |
| 1205035516 | Aileen Ingal | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002 | 2007-07-16 |
| 1730218991 | North Jersey Cardiovascular Consultants, LLC | Internal Medicine | 329 Belleville Ave, Bloomfield, NJ 07003-3600 | 2007-03-05 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
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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.