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MRS. BETH HEATHER BLOOM R.D.
NPI 1740240068
Dietitian, Registered in Massapequa, NY

Active since March 23, 2006
15 N PINE ST, MASSAPEQUA, NY 11758(516) 804-6191 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About BETH BLOOM

This page provides the complete NPI Profile along with additional information for Beth Bloom, a provider established in Massapequa, New York with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1740240068 assigned on March 2006. The practitioner's primary taxonomy code is 133V00000X with license number 865058 (NY). The provider is registered as an individual and her NPI record was last updated July 2026.

NPI
1740240068 Verify this NPI
Provider Name
MRS. BETH HEATHER BLOOM R.D.
Gender
Female
Entity Type
Individual
Location Address
15 N PINE ST MASSAPEQUA, NY 11758
Location Phone
(516) 804-6191
Mailing Address
15 N PINE ST MASSAPEQUA, NY 11758
Mailing Phone
(516) 804-6191
Is Sole Proprietor?
No
Enumeration Date
03-23-2006
Last Update Date
07-13-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
865058
License State
NY
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740240068, enumerated as an "individual" on March 23, 2006.

The provider is located at 15 N PINE ST MASSAPEQUA, NY 11758 and the phone number is (516) 804-6191.

Dietitian, Registered with taxonomy code 133V00000X.