Allison Bloom, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

212541 Issued in NY

Practice address

6735 112TH St
Forest Hills, NY 11375-2349

Phone

(718) 263-0740

NPI assigned

Mar 2, 2007

Last updated

Nov 24, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Forestdale, Inc.

  • Foster Care Agency
  • Forest Hills, NY
  • NPI 1790803831
  NPD (past)
• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1871621409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 112TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752349",
            "telephone_number": "718-263-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 112TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752349",
            "telephone_number": "718-263-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "212541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Brent Bligen Jr.
• George Blikstein, PHARMACIST
• Audrey Paulette Blitz, RPH
• Daniel C Block, DDS
• Maria del Carmen Blondet de Gamarra
• Debra Blum, DDS
• Melissa Zellermaier Blum, M.A SLP
• BM Nurse Practitioner in Family Health PC
• Diane Boardman, M.A. CCC-SLP
• Jessica Bobadilla, WHNP

• Pediatrics Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.