MRS. BERNICE MOELLER-BLOOM (NPI# 1639173255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639173255 |
| Entity Type | Individual |
| Full Name | MRS. BERNICE MOELLER-BLOOM |
| Credential | NP |
| Practice Address |
59 Myrtle Street Suite 100 Saratoga Springs NY 12866-1093 |
| Practice Telephone | 5185872400 |
| Practice Fax Number | 5185810141 |
| Mailing Telephone | 5185872400 |
| Mailing Fax Number | 5185810141 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2016-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
F3600631 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 350498 | 01 |
| Street Address |
59 MYRTLE STREET SUITE 100 |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847995 | Eliot L. Birnbaum | Obstetrics & Gynecology | 59 Myrtle Street, Suite 100, Saratoga Springs, NY 12866-1044 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473358 | Kaylin King | Nurse Practitioner | 940 8th Ave, New York, NY 10019-4287 | 2020-06-26 |
| 1457780116 | Yelena Pankova | Nurse Practitioner | 2236 E 13th St, Brooklyn, NY 11229-4304 | 2013-11-04 |
| 1144661026 | Euree Chun | Nurse Practitioner | 545 First Avenue, New York, NY 10016-6930 | 2013-07-08 |
| 1588907026 | Theresa Margaret Salas | Nurse Practitioner | 1500 Route 112 Bldg 11, Suites A-b, Port Jefferson Station, NY 11776-3184 | 2013-04-03 |
| 1659632909 | Kathleen Louise Wunderlich | Nurse Practitioner | 66 Brinker Hoff Street, Planned Parenthood of The North Country New York, Inc., Plattsburgh, NY 12901 | 2012-06-04 |
| 1437477650 | Elisabeth Markus-sullivan | Nurse Practitioner | 175 7th Ave, Brooklyn, NY 11215-2647 | 2010-05-12 |
| 1710201371 | Amy L Kidney | Nurse Practitioner | 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 | 2010-03-24 |
| 1346487253 | Marion Fischer Lenihan | Nurse Practitioner | 374 Sarles St, Mount Kisco, NY 10549-4740 | 2009-01-14 |
| 1336396886 | Lucille Anne Coady | Nurse Practitioner | 909 Culver Rd, Rochester, NY 14609-7141 | 2008-08-26 |
| 1508026667 | Loriellen E Lorusso | Nurse Practitioner | 5225 Route 347 Ste 70, Port Jefferson Station, NY 11776-2061 | 2008-06-12 |
| Find all providers with the same taxonomy | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
Please comment or provide details below to improve the information on MRS. BERNICE MOELLER-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.