Individual provider Active NPI

Noel Lawton Bloomfield II

  • Family Nurse Practitioner
  • Potsdam, NY
National Provider Identifier
1194478875
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354356 Issued in NY
Practice address
49 Lawrence Ave
Potsdam, NY 13676-1889
Phone
(315) 274-9075
NPI assigned
Feb 1, 2022
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354356 NY Primary

Addresses

Primary practice location

49 Lawrence Ave
Potsdam, NY 13676-1889

Mailing address

50 Leroy St
Potsdam, NY 13676-1786

Other practice location 1

4400 Vestal Pkwy E
Binghamton, NY 13902-4601
Phone (607) 777-2000

Other practice location 2

50 LeRoy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Other practice location 3

77 W Barney St
Gouverneur, NY 13642-1040
Phone (315) 287-1000

Other practice location 4

1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909000604 NY Practitioner - Nurse Practitioner 4789124520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone (315) 261-5550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Aug 6, 2024 Accepting new patients
Binghamton University CurrentSince Feb 1, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 6, 2024 Accepting new patients
Massena Hospital, Inc CurrentSince Aug 6, 2024 Accepting new patients
Massena Hospital Inc CurrentSince Aug 6, 2024 Accepting new patients
Binghamton University Health Services PastSince Feb 1, 2022 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

49 Lawrence Ave
Potsdam, NY 13676
Phone (315) 261-5550

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Interoperability endpoints

  • Direct secure messaging: nbloomfield347275@direct.rochesterregional.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1194478875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAWRENCE AVE",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761889",
            "telephone_number": "315-274-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139024601",
            "country_code": "US",
            "telephone_number": "607-777-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 LeRoy St",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136761786",
            "country_code": "US",
            "telephone_number": "315-265-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 W Barney St",
            "address_purpose": "LOCATION",
            "city": "Gouverneur",
            "state": "NY",
            "postal_code": "136421040",
            "country_code": "US",
            "telephone_number": "315-287-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136621056",
            "country_code": "US",
            "telephone_number": "315-769-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "NOEL",
        "middle_name": "LAWTON",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

Verify at the official NPI Registry.