Active NPI
Jeannine Ann Bordonaro, MD
- Psychiatry Physician
- Syracuse, NY
National Provider Identifier
1497950968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 194804
- Practice address
- 1101 Erie Blvd E
Suite 214
Syracuse, NY 13210-1144 - Phone
- (315) 471-7634
- Fax
- (315) 471-7726
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 194804 | NY | Primary |
Addresses
Primary practice location
1101 Erie Blvd E
Suite 214
Syracuse, NY 13210-1144
Mailing address
1101 Erie Blvd E
Suite 214
Syracuse, NY 13210-1144
Phone (315) 471-7634
Other practice location 1
329 N Salina St
Syracuse, NY 13203-1755
Phone (315) 471-1564
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Syracuse, NY
- NPI 1609892280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1497950968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 ERIE BLVD E",
"address_2": "SUITE 214",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101144",
"telephone_number": "315-471-7634",
"fax_number": "315-471-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 ERIE BLVD E",
"address_2": "SUITE 214",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101144",
"telephone_number": "315-471-7634",
"fax_number": "315-471-7726"
}
],
"practiceLocations": [
{
"address_1": "329 N Salina St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132031755",
"country_code": "US",
"telephone_number": "315-471-1564",
"fax_number": "315-471-2531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORDONARO",
"first_name": "JEANNINE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "194804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.