DR. MICHAEL LLOYD BLOOM D.D.S.
NPI 1861611543
Dentist - General Practice in New York, NY

Q: What is Michael Bloom's NPI number?

The NPI number for Michael Bloom is 1861611543. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Michael Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 24, 2007

875 PARK AVE, SUITE 1E, NEW YORK, NY 10021(212) 861-3033(212) 861-3630 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Michael Lloyd Bloom D.d.s. NPPES

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

DR. MICHAEL LLOYD BLOOM D.D.S. (NPI 1861611543) is an individual general practice provider in New York, New York, licensed in New York (024369) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1861611543

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL LLOYD BLOOMCredential: D.D.S.

Location Address875 PARK AVE, SUITE 1ENew York, NY 10021-0341

Mailing Address875 Park Ave, Suite 1eNew York, NY 10021-0341 · (212) 861-3033 · Fax (212) 861-3630

Phone(212) 861-3033

Fax(212) 861-3630

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861611543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 024369

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

875 PARK AVE, New York, NY 10021

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Other Providers at the Same Location NPPES 3

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

DR. GEORGE JOSEPH BERAKA M.D.

Plastic Surgery

875 PARK AVE
NEW YORK, NY 10021

New York County (212) 288-1122

MS. RACHEL TAMARA PARKER P.A.-C.

Physician Assistant (Surgical)

875 PARK AVE
NEW YORK, NY 10021

New York County (212) 517-5200

DR. MASOOD KHATAMEE M.D.

Specialist

875 PARK AVE
NEW YORK, NY 10021

New York County (212) 744-3737

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 Michael Bloom's NPI number?

The NPI number for Michael Bloom is 1861611543. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Michael Bloom located?

Michael Bloom practices at 875 Park Ave Suite 1E, New York, NY 10021. The listed phone number is (212) 861-3033.

What is Michael Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.