Paolo A Bolognese, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

1519 Issued in NY

Practice address

1991 Marcus Ave
Suite 108
New Hyde Park, NY 11042-2057

Phone

(516) 442-2250

Fax

(516) 442-2251

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Neurosurgery

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Nassau Physician Practice PCGroup PAC ID 9931384088, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Nassau Physician Practice PC

  • Surgery Physician
  • Valley Stream, NY
  • NPI 1962652685
  Medicare reassignment Care Compare group NPD
• Neurological Surgery Practice of Long Island PLLC

  • Neurological Surgery Physician
  • Rockville Centre, NY
  • NPI 1265529424
  Medicare reassignment NPD
• South Nassau Physicians PC

  • Surgery Physician
  • Valley Stream, NY
  • NPI 1104200641
  Medicare reassignment NPD
• NSPC Plastics

  • Plastic Surgery Physician
  • Rockville Centre, NY
  • NPI 1487192233
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• South Nassau Communities Hospital

  • General Acute Care Hospital
  • Oceanside, NY
  • NPI 1922079094
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1154492148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-442-2250",
            "fax_number": "516-442-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-442-2250",
            "fax_number": "516-442-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOGNESE",
        "first_name": "PAOLO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Boisclair, MD
• Linda Ann Bokor, NP
• Paul James Boland, RPA-C
• Jessica Bolduc
• Gina Bolnet-Quettant, M.D.
• Clarissa Ann Bonanno, M.D.
• Eugene S Bonapace Jr., M.D.
• Elias P Bonaros Jr., MD
• Richard Samuel Boneville, D.D.S.
• Anna Bongiorno, MA, CCC-SLP

• Neurological Surgery Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.