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MS. LIZA REBECCA BLOOM
NPI 1477108264
Social Worker - School in Brooklyn, NY

Active since August 07, 2019PECOS Enrolled
878 SAINT JOHNS PL APT 1, BROOKLYN, NY 11216(310) 339-3250 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Liza Rebecca Bloom NPPES

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

MS. LIZA REBECCA BLOOM (NPI 1477108264) is an individual school provider in Brooklyn, New York, licensed in New York (107033) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477108264
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMS. LIZA REBECCA BLOOM
Location Address878 SAINT JOHNS PL APT 1Brooklyn, NY 11216-4306
Mailing Address878 Saint Johns Pl Apt 1Brooklyn, NY 11216-4306 · (310) 339-3250
Phone(310) 339-3250
Sole ProprietorYes
Enumeration DateAugust 7, 2019
✔ NPI 1477108264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NY · 107033
878 SAINT JOHNS PL APT 1, Brooklyn, NY 11216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Liza Rebecca Bloom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Liza Bloom's NPI number?

The NPI number for Liza Bloom is 1477108264. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Liza Bloom located?

Liza Bloom practices at 878 Saint Johns Pl Apt 1, Brooklyn, NY 11216. The listed phone number is (310) 339-3250.

What is Liza Bloom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Liza Bloom enrolled in Medicare?

Yes. Liza Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liza Bloom was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.