Individual provider Active NPI

Rebecca Lynn Bagdonas, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1649492950
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2288041 Issued in NY
Practice address
310 E 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003
Phone
(212) 979-4000
Fax
(845) 790-2675
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2288041 NY Primary
Pediatric Anesthesiology Physician 207LP3000X 2288041 NY

Addresses

Primary practice location

310 E 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003

Mailing address

PO Box 550
2 Catharine St Infirmary Anesthesia Associates LLP
Poughkeepsie, NY 12602
Phone (866) 868-8415

Other identifiers 1

IdentifierTypeStateIssuer
02899356MedicaidNY

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
I20071005000795 NY Practitioner - Anesthesiology 1254426182 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
5000 Avenue K Medical Assocs PCGroup PAC ID 3577454602, 18 clinicians

Practice addresses (Care Compare)

1901 Utica Ave
Brooklyn, NY 11234-3213
Phone (347) 417-9084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2288041NYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Yards Surgery Center, LLC CurrentSince Feb 5, 2021 Accepting new patients
Resource Anesthesiology Associates,PC Anesthesiology CurrentSince Jan 2, 2020 Accepting new patients
Lynbrook Anesthesia Services, PC Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Dec 18, 2018 Accepting new patients
Yorkville Endoscopy, LLC CurrentSince Nov 16, 2019 Accepting new patients
5000 Avenue K Medical Assocs PC Anesthesiology CurrentSince Sep 15, 2021 Accepting new patients
West Side Gi, LLC CurrentSince May 10, 2020 Accepting new patients
Omni Eye Surgery of New York PC PastSince Feb 5, 2021 Accepting new patients

Locations

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

1901 Utica Ave
Brooklyn, NY 11234
Phone (718) 520-0857

1901 Utica Ave
#K
Brooklyn, NY 11234

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

600 Mamaroneck Ave
Ste 301
Harrison, NY 10528
Phone 9147238100116

2325 31st St
Fl 2
Long Island City, NY 11105
Phone (347) 417-9094

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

128 Mott St
Ste 202
New York, NY 10013
Phone (347) 417-9089

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

201 E 93rd St
New York, NY 10128
Phone (917) 281-0100

20 W 13th St
New York, NY 10011
Phone (212) 604-9800

450 W 31st St
New York, NY 10001
Phone (212) 604-9800

198 Canal St
Ste 501
New York, NY 10013
Phone (212) 219-8010

450 W 31st St
Ste 2S
New York, NY 10001
Phone (212) 604-9800

931 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 331-7200

320 Montauk Hwy
West Islip, NY 11795
Phone (360) 514-9060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1649492950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "address_2": "2 CATHARINE ST INFIRMARY ANESTHESIA ASSOCIATES LLP",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "866-868-8415",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH STREET",
            "address_2": "NY EYE & EAR INFIRMARY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-979-4000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDONAS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2288041",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "2288041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02899356",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.