Jerome E. Bagner, DPM, P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N002233-1 Issued in NY

Legal business name

JEROME E. BAGNER, DPM, P.C.

Practice address

30 Hempstead Ave
Suite 158
Rockville Centre, NY 11570-4033

Phone

(516) 764-6800

Fax

(516) 764-7047

NPI assigned

Nov 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerome E Bagner, DPM

Title

President

Phone

(516) 764-6800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Charles Etts, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Islip, NY
  • NPI 1326667700
  NPD (past)
• Judah M Gomberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flushing, NY
  • NPI 1497150023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1003160292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 158",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-6800",
            "fax_number": "516-764-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 158",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-6800",
            "fax_number": "516-764-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME E. BAGNER, DPM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "BAGNER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-764-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N002233-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey a Kurta Medical Services PC
• Jeffrey L. Horowitz, DDS PC
• Joseph Jeret, MD
• Jericho Medical Practice PLLC
• Jermaine Lee Physical Therapy PLLC
• Jerome R Caiati MD.,PC.
• Jessica R Cesare, Psychologist, PH.D., P.C.
• Jezliah Adult Social Daycare
• Hui Jiang
• Jhovana Jimenez

• Foot Surgery Podiatrist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.