Active NPI
Dennis A Bloomfield, MD
- Specialist
- Staten Island, NY
National Provider Identifier
1689667446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 099669
- Practice address
- 1102 Victory Blvd
Staten Island, NY 10301-3622 - Phone
- (718) 442-5230
- Fax
- (718) 816-4927
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 099669 | NY | Primary |
Addresses
Primary practice location
1102 Victory Blvd
Staten Island, NY 10301-3622
Mailing address
1102 Victory Blvd
Staten Island, NY 10301-3622
Phone (718) 442-5230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS240 | Other | NY | OXFORD |
| 0057365 | Other | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099669 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Cardio Pulmonary Care PC | Past | Accepting new patients | |
| Angelic Care Center LLC | Past | Accepting new patients | |
| Bard Cardiology Associates, PC | Past | Accepting new patients | |
| Cynthia Wong, MD, PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiac Rehabilitation Clinic/Center
- Staten Island, NY
- NPI 1588613855
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1366513152
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1528345410
-
- Cardiovascular Disease Physician
- North Brunswick, NJ
- NPI 1457623886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1689667446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013622",
"telephone_number": "718-442-5230",
"fax_number": "718-816-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013622",
"telephone_number": "718-442-5230",
"fax_number": "718-816-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMFIELD",
"first_name": "DENNIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "099669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "OS240",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0057365",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.