| Dr Thomas Bloom, MD | |
|
6254 97th Pl, Suite 2b, Rego Park, NY 11374-1346 | |
| (718) 595-1166 | |
| (718) 595-1167 |
| Full Name | Dr Thomas Bloom |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6254 97th Pl, Rego Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164597290 | NPI | - | NPPES |
| 4061374 | Other | NY | AETNA US HEALTHCARE |
| 487Y22 | Other | NY | EMPIRE HEALTH CHOICE |
| 73546 | Other | NY | VYTRA |
| 000083377007 | Other | NY | UNITEDHEALTHCARE |
| 4C1906 | Other | NY | HEALTHNET |
| 6628678003 | Other | NY | CIGNA |
| DP093 | Other | NY | OXFORD |
| 010167049NY01 | Other | NY | ANTHEM |
| 167049 | Other | NY | HIP |
| 01824886 | Medicaid | NY | |
| 000083377009 | Other | NY | UNITEDHEALTHCARE |
| 010167049NY02 | Other | NY | ANTHEM |
| 2697963 | Other | NY | GHI |
| 74747 | Other | NY | VYTRA |
| 487Y21 | Other | NY | EMPIRE HEALTHCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 167049 (New York) | Primary |
| Entity Name | Nassau Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
| Entity Name | Harmony Health Care Long Island |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Bloom, MD 6254 97th Pl, Suite 2b, Rego Park, NY 11374-1346 Ph: (718) 595-1166 | Dr Thomas Bloom, MD 6254 97th Pl, Suite 2b, Rego Park, NY 11374-1346 Ph: (718) 595-1166 |
Daniel Umali, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8502 66th Rd, Rego Park, NY 11374 Phone: 718-544-7770 | |
Mrs. Xin Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9229 Queens Blvd, Rego Park, NY 11374 Phone: 718-575-1992 Fax: 917-832-6697 | |
Dr. Sandhya Jhaveri, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9525 Queens Blvd, Suite 520, Rego Park, NY 11374 Phone: 718-896-4399 | |
Dr. Jose Escueta Quiwa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8502 66th Rd, Rego Park, NY 11374 Phone: 718-426-5202 Fax: 718-897-2874 | |
Svetlana Prokhorova, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9817 Queens Boulevard, Ll2, Rego Park, NY 11374 Phone: 718-275-5600 Fax: 718-275-5608 | |
Dr. Eleonora Khaimova, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6509 99th St, Rego Park, NY 11374 Phone: 718-606-0023 |