Robert J Bonasera, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

237615-1 Issued in NY

Practice address

1205 Franklin Ave Ste 150
Garden City, NY 11530

Phone

(516) 222-0067

Fax

(516) 222-0071

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Islandwide Gastroenterology PCGroup PAC ID 2961555602, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbonasera307791@nyumc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Islandwide Gastroenterology PC

  • Gastroenterology Physician
  • Garden City, NY
  • NPI 1427290907
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation
• Wsnchs North, Inc.

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073537767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 FRANKLIN AVE STE 150",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301600",
            "telephone_number": "516-222-0067",
            "fax_number": "516-222-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 FRANKLIN AVE STE 150",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-222-0067",
            "fax_number": "516-222-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Syosset Woodbury Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117971200",
            "country_code": "US",
            "telephone_number": "516-921-3900",
            "fax_number": "516-921-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONASERA",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "237615-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "237615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Nicole Boden
• Gary Charles Bodenburg, MSED
• Body by Design Wellness Chiropractic PLLC
• Allison Boldis
• Cheryl Marie Bolebruch, PH.D.
• Sara Silveria Bonasia
• Heidi Christine Bongiorno, OTR/L
• Vincent Bonilla
• Laura Bonomo, PH.D.
• Lisa J Boodram, PHARM D

• Gastroenterology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.