Devin M Bonura, PA-C
Individual provider Active NPI Medical Physician Assistant · North Babylon, NY
NPI 1629356266 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1629356266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 014958 (NY)
- Practice address
- 1231 Deer Park Ave
North Babylon, NY 11703-3104 - Phone
- (631) 667-0388
- Fax
- (631) 968-7705
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.32 of 100
- Quality
- 73.65
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 71.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729007633 | NY | Practitioner - Physician Assistant | 6305169707 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014958 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahzad Iqbal Physician PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 014958 | NY | Yes |
Addresses
Primary practice location
1231 Deer Park Ave
North Babylon, NY 11703-3104
Mailing address
1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone (631) 667-0388
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4248266 | Medicaid | NY |
Other providers in North Babylon, NY
- Steven B Berkowitz
- Vladymir Melanie Bernier
- Kayla Berretta
- Melissa Berrick
- John Francis Bisacco
- Vincent Paul Bonura
- Edgar O Borrero
- Rose Marthe Boucicaut
- Brad & Ethan Health Solution Inc
- Bravo Kids, Inc.
All providers in North Babylon, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.