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

Tammy Bloom, FNP

Individual provider Family Nurse Practitioner · NPI 1740672229

Tammy Bloom, FNP is a Nurse Practitioner in Bayside, New York. Qualified in 2014, 12 years ago. Practices with Edward Timothy Okelley MD PC, a 10-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4564 Francis Lewis Blvd Ste 202
Bayside, NY 11361-3085
Phone: (631) 751-3000
Fax: (631) 751-0506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 222 Station Plz N, Mineola, NY 11501 — (516) 663-2051
  • 157 E Woodside Ave, Patchogue, NY 11772-1423 — (631) 475-1900

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339372 (NY)

Record details

NPI number1740672229
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Edward Timothy Okelley Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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