Nicholas George Bambino, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

116053 Issued in NY

Practice address

10 Elm St
Cornwall, NY 12518

Phone

(845) 534-7080

Fax

(845) 534-4171

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

State University of Ny Upstate Medical University, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Vista Medical PCGroup PAC ID 8628240215, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore St Luke's Cornwall Hospital, Newburgh, NY, CCN 330264

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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

• Hudson Vista Medical,PC

  • Internal Medicine Physician
  • Cornwall, NY
  • NPI 1659666840
  Medicare reassignment Care Compare group NPD

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

• St. Luke's Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1417967514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELM ST",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "12518",
            "telephone_number": "845-534-7080",
            "fax_number": "845-534-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "12518",
            "telephone_number": "845-534-7080",
            "fax_number": "845-534-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBINO",
        "first_name": "NICHOLAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "116053",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "116053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Podiatry Associates of the Hudson Valley LLP
• Advanced Surgical Care, PC
• Age in Place Occupational Therapy PLLC
• Demalsh G Alambo, PHARMD
• Laura Baldi, OTR/L
• Tracey Anne Barnes, LCSW
• Aviva Tova Bashkowitz, LCSW
• Sara E Bayne, BSN, RN
• Gail Gold Berger, BCBA
• John Bivona Jr., M.D.

• Gastroenterology Physician in Cornwall, NY
• Providers in Cornwall, 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 May 13, 2010; 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.