Ivy Bloom, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

122 Jeffery LN
Oceanside, NY 11572-5936

Phone

(516) 678-3728

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1942562400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 JEFFERY LN",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725936",
            "telephone_number": "516-678-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 JEFFERY LN",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725936",
            "telephone_number": "516-678-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "IVY",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Bienstock, DDS
• Kimberly Ann Biscardi, OD
• Lisa Marie Blando
• Pamela Meryl Blau, RPH
• Daniel Bleykhman, MD
• Jolene Slansky Boden, LCSW
• Glenn G Boettger, CRNA
• Richard Bohn, OD
• Michael Robert Bonasera Sr., DDS
• Avery Bonavita, AUD

• Specialist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.