Individual provider Active NPI

Svetoslav S Bardarov, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
National Provider Identifier
1295921955
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
251136 Issued in NY
Practice address
339 Hicks St
Long Island College Hospital Pathology
Brooklyn, NY 11201-5509
Phone
(718) 780-1506
Fax
(718) 780-2740
NPI assigned
Sep 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 251136 NY Primary

Addresses

Primary practice location

339 Hicks St
Long Island College Hospital Pathology
Brooklyn, NY 11201-5509

Mailing address

97 Amity St
Long Island College Hospital/Pathology
Brooklyn, NY 11201-6004
Phone (718) 780-1506

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090217000011 NY Practitioner - Pathology 7416012950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234

Hospital & facility affiliations

  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 10)

OrganizationSpecialtyStatusNew patients
Babylon Medical Practice, P.C. CurrentSince Sep 1, 2013 Accepting new patients
Amboy Medical Practice PC CurrentSince Dec 17, 2018 Accepting new patients
Amboy Medical Practice PC CurrentSince Dec 17, 2018 Accepting new patients
New York Gastroenterology Associates LLP CurrentSince Jul 1, 2023 Accepting new patients
South Shore Family Medical Associates, P.C. PastSince Nov 1, 2013 Accepting new patients
Yorkville Medical Associates PLLC Past Accepting new patients
Long Island College Hosp Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

350 W Main St
Babylon, NY 11702
Phone (631) 661-2277

311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633

4982 Hylan Blvd
Staten Island, NY 10312
Phone (718) 477-6900

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1295921955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 AMITY ST",
            "address_2": "LONG ISLAND COLLEGE HOSPITAL/PATHOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "718-780-1506",
            "fax_number": "718-780-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "LONG ISLAND COLLEGE HOSPITAL PATHOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1506",
            "fax_number": "718-780-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDAROV",
        "first_name": "SVETOSLAV",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "251136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.