Individual provider Active NPI

Brian James Buonocore, MD

  • Diagnostic Radiology Physician
  • Mineola, NY
National Provider Identifier
1376667808
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
56363 Issued in CT
Practice address
120 Mineola Blvd
Suite 10 Lower Level
Mineola, NY 11501-4064
Phone
(516) 663-4510
Fax
(516) 663-3698
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 236151 NY
Diagnostic Radiology Physician 2085R0202X CMD16239 RI
Diagnostic Radiology Physician 2085R0202X 56363 CT Primary

Addresses

Primary practice location

120 Mineola Blvd
Suite 10 Lower Level
Mineola, NY 11501-4064

Mailing address

PO Box 410197
Boston, MA 02241-1097
Phone (814) 426-7317

Other practice location 1

25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000

Other practice location 2

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Other identifiers 1

IdentifierTypeStateIssuer
02860442MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070615000417 NY Practitioner - Diagnostic Radiology 9830298868 Reassigns benefits to 2 organizations
I20170530001520 CT Practitioner - Diagnostic Radiology 9830298868 Reassigns benefits to 1 organization
I20180702000115 RI Practitioner - Diagnostic Radiology 9830298868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Radiology Associates PCGroup PAC ID 1951315779, 26 clinicians

Practice addresses (Care Compare)

25 Wells St
Westerly, RI 02891-2922
Phone (860) 442-0711

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.82 of 100Reported as individual
Quality
75.38
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 15, 2018 Accepting new patients
Ocean Radiology Associates PC Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
New York University CurrentSince Mar 15, 2018 Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

120 Mineola Blvd
Ste 10
Mineola, NY 11501
Phone (516) 663-4510

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • Direct secure messaging: bbuonocore403781@direct.ynhh.org

Organizations & group practices 3

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 9

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1376667808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410197",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411097",
            "telephone_number": "814-426-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD",
            "address_2": "SUITE 10 LOWER LEVEL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014064",
            "telephone_number": "516-663-4510",
            "fax_number": "516-663-3698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Wells St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912922",
            "country_code": "US",
            "telephone_number": "401-596-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204700",
            "country_code": "US",
            "telephone_number": "860-442-0711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONOCORE",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "236151",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "CMD16239",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "56363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02860442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.