Phyllis Bloom, LSW, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

203-1 Issued in NY

Practice address

875 Sixth Avenue
Suite #1108
Ny, NY 10001

Phone

(212) 967-1393

Fax

(212) 967-5996

NPI assigned

Aug 2, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750398640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 SIXTH AVENUE",
            "address_2": "SUITE #1108",
            "city": "NY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-967-1393",
            "fax_number": "212-967-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 SIXTH AVENUE",
            "address_2": "SUITE #1108",
            "city": "NY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-967-1393",
            "fax_number": "212-967-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "LSW, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0162401",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "203-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana R Berke
• Jeanette Bernardino-Pascual, RN
• Jeffrey Marc Bernstein, PT
• Sherrie Blanchette, RD
• Eustacia Tulabot Bleza, M.D.
• Leota Susan Branche, PHD
• Brenda Luisa Brathwaite, CMN
• Kristina Ann Brielmaier, F.N.P
• Rebecca Cecile Brightman, MD
• Anne-Marie Beluang Brillantes, M.D.

• Acupuncturist in Ny, NY
• Providers in Ny, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.