1. Home
  2. Directory
  3. New York
  4. Jericho
  5. Family Medicine
  6. NPI Profile

SCOTT BLOOM MD PC
NPI 1295824530
Family Medicine in Jericho, NY

Active since October 12, 2006CLIA 33D0866819 · Waiver
99 JERICHO TPKE, SUITE 206, JERICHO, NY 11753(516) 338-2900(516) 338-2901 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Scott Bloom Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT BLOOM MD PC (NPI 1295824530) is a healthcare organization registered as a family medicine in Jericho, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Scott Bloom, Pres, as its authorized official.

NPPES Registry Identity

NPI1295824530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCOTT BLOOM MD PC
Location Address99 JERICHO TPKE, SUITE 206Jericho, NY 11753-1073
Mailing Address380 N Broadway Ste 307Jericho, NY 11753-2109 · (516) 835-4092 · Fax (516) 338-2901
Phone(516) 338-2900
Fax(516) 338-2901
Organization SubpartNo
Authorized OfficialScott BloomPres · (516) 338-2900
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 29, 20232 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1295824530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 162996
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
99 JERICHO TPKE, Jericho, NY 11753
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0866819

Scott P Bloom MD PC · Jericho, NY
Active · expires Mar 20, 2027
CLIA Number33D0866819
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDr. Scott P. Bloom
Laboratory Phone(516) 338-2900
Laboratory LocationScott P Bloom MD PC380 North Broadway - Ste 307, Jericho, NY 11753
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEN'S MEDICAL NEW YORK, P.C.
General Practice
99 JERICHO TPKE, SUITE 202
JERICHO, NY 11753
Nassau County (516) 442-4444
MR. NESTOR LUIS CORA LMT
Massage Therapist
99 JERICHO TPKE
JERICHO, NY 11753
Nassau County (347) 246-3246
MR. MARCO LUIGI PALERMO DPT
Physical Therapist
99 JERICHO TPKE, STE 100
JERICHO, NY 11753
Nassau County (516) 280-8044
PALERMO PHYSICAL THERAPY PLLC
Clinic/Center (Physical Therapy)
99 JERICHO TPKE, SUITE 305
JERICHO, NY 11753
Nassau County (516) 280-8044
SPECIALTY PORTABLE X-RAY INC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
99 JERICHO TPKE, SUITE 204
JERICHO, NY 11753
Nassau County (516) 432-3800
MR. MICHAEL OCTAVIO ALVAREZ
Massage Therapist
99 JERICHO TPKE
JERICHO, NY 11753
Nassau County (516) 307-8101
DR. FRIEDA NEUSCHOTZ M.D.
Pediatrics
99 JERICHO TPKE, SUITE 206
JERICHO, NY 11753
Nassau County (516) 338-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Bloom MD PC's NPI number?

The NPI number for Scott Bloom MD PC is 1295824530. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Scott Bloom MD PC located?

Scott Bloom MD PC is located at 99 Jericho Tpke Suite 206, Jericho, NY 11753. The listed phone number is (516) 338-2900.

What is Scott Bloom MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Scott Bloom MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0866819) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott Bloom MD PC was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.