Mitchell J. Bloom, D.M.D., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

045016 Issued in NY

Legal business name

MITCHELL J. BLOOM, D.M.D., P.C.

Practice address

880 5TH Ave
Suite 1-G
New York, NY 10021-4951

Phone

(212) 327-2623

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J. Bloom, D.M.D.NPI 1467853408

Title

President

Phone

(212) 327-3623

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Bloom, D.M.D.

  • Periodontics
  • New York, NY
  • NPI 1467853408
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1366513194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 5TH AVE",
            "address_2": "SUITE 1-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214951",
            "telephone_number": "212-327-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 5TH AVE",
            "address_2": "SUITE 1-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214951",
            "telephone_number": "212-327-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL J. BLOOM, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-327-3623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "045016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Mitch, CNS,LP
• Nicole Mitch, LMT
• Mitchell a. Kline MD PC
• Mary Ellen Mitchell Haddad, REGISTERED NURSE
• Mitchell J Mandel MDPC
• Mitchell Medical Group of New York PC
• Mitchell S. Levy, Psychologist, P.C.
• Mitchell V Sabbagh DMD PC
• Doretha - Mitchell-Levine, LCSW-R
• Dennis Anthony Mitchell-Lewis, DDS

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.