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

Stanley Bloom, MD

Individual provider Urology Physician · NPI 1003041377

Stanley Bloom, MD is an Urology Physician in Old Forge, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

138 Goodell Rd
Old Forge, NY 13420
Phone: (315) 369-2003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 099606-1 (NY)

Record details

NPI number1003041377
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2009
Last updated in NPPESMay 15, 2009
Mailing address10760 North Green Dr, Lake Worth, FL 33449