NPIMap

Individual provider Active NPI

Zachary T. Bloomgarden, MD

  • Specialist
  • New York, NY
National Provider Identifier
1700892635
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
125739 Issued in NY
Practice address
35 E 85TH St
New York, NY 10028-0954
Phone
(212) 879-5933
Fax
(212) 861-7429
NPI assigned
Jul 31, 2006
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 125739 NY Primary

Addresses

Primary practice location

35 E 85TH St
New York, NY 10028-0954

Mailing address

35 E 85TH St
New York, NY 10028-0954
Phone (212) 879-5933

Other identifiers 2

IdentifierTypeStateIssuer
125739OtherNYNY STATE LICENSE NUMBER
00235089MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070906000003 NY Practitioner - Internal MedicinePractitioner - Endocrinology 2163515255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Albert Einstein College of Medicine of Yeshiva University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 E 85 St
New York, NY 10028-0954
Phone (212) 879-5933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.99 of 100Reported as individual
Quality
69.01
Improvement activities
40
Cost
69.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary T. Bloomgarden MD PC CurrentSince Jan 1, 2010 Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients

Locations

35 E 85th St
Apt 1S
New York, NY 10028
Phone (212) 426-7300

Organizations & group practices 3

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 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1700892635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280954",
            "telephone_number": "212-879-5933",
            "fax_number": "212-861-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280954",
            "telephone_number": "212-879-5933",
            "fax_number": "212-861-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMGARDEN",
        "first_name": "ZACHARY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "125739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "125739",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.