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

Ivy Bloom, MSED

Individual provider Specialist · NPI 1942562400

Ivy Bloom, MSED is a Specialist in Oceanside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

122 Jeffery Ln
Oceanside, NY 11572-5936
Phone: (516) 678-3728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1942562400
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 11, 2012
Mailing address122 Jeffery Ln, Oceanside, NY 11572-5936

Other providers in Oceanside