Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Bloom MD PC

Organization Family Medicine Physician · NPI 1295824530

Scott Bloom MD PC is a Family Medicine Physician in Jericho, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

99 Jericho Tpke Ste 206
Jericho, NY 11753-1073
Phone: (516) 338-2900
Fax: (516) 338-2901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 162996 (NY)

Record details

NPI number1295824530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Bloom — Pres · (516) 338-2900
NPI enumeratedOctober 12, 2006
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023
Mailing address380 N Broadway Ste 307, Jericho, NY 11753-2109

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