David Bloomgarden, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

138123 Issued in NY

Practice address

259 Heathcote Rd
Scarsdale, NY 10583-4523

Phone

(914) 723-8100

Fax

(914) 428-8167

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1568422947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 HEATHCOTE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834523",
            "telephone_number": "914-723-8100",
            "fax_number": "914-428-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HEATHCOTE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834523",
            "telephone_number": "914-723-8100",
            "fax_number": "914-428-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMGARDEN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "138123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory F Bishop, MD
• Denise C Black
• Howard Michael Blank, D.P.M.
• Richard Terry Blank, DDS
• Sara D Blechner, M.A., SLP-CCC
• Jane W. Bloomgarden, PHD
• Lauren Blum, CPNP
• Bobby Geevarughese Physical Therapy, PLLC
• Catherine Bodan
• Laura Boekman Bologh, PH.D.

• Endocrinology, Diabetes & Metabolism Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.