New Bloom Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NEW BLOOM DERMATOLOGY, PLLC

Practice address

670 Greenwich Street
New York, NY 10014-6340

Phone

(212) 207-0078

Fax

(646) 480-7375

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Erin Kil, MDNPI 1215199088

Title

Sole Proprietor

Phone

(212) 207-0078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00212

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Kil, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1215199088
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1982271987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GREENWICH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146340",
            "telephone_number": "212-207-0078",
            "fax_number": "212-480-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GREENWICH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146340",
            "telephone_number": "212-207-0078",
            "fax_number": "646-480-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BLOOM DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-11-04",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "KIL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-207-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Amsterdam Genomics, Inc.
• New Amsterdam Medical Associates, PC
• New App Car & Limo Inc
• New Beauty Medical PC
• New Best Physical Therapy PC (Apollo Physical Therapy)
• New Broadway Dental
• New Century Chiropractic Services PC
• New City Vision Inc (village eyecare)
• New Concept Acupuncture PC
• New Corpus Physical Therapy PC

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.