Individual provider Active NPI

Bonnie White, M.D.

  • Anesthesiology Physician
  • Oceanside, NY
National Provider Identifier
1689836074
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
264922 Issued in NY
Practice address
1 Healthy Way
Oceanside, NY 11572-1551
Phone
(516) 631-4191
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 264922 NY Primary

Addresses

Primary practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

761 Middle Country Rd
Selden, NY 11784-2550
Phone (631) 736-4064

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
I20120815000031 NY Practitioner - Anesthesiology 3870749468 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kotlyar Medical PCGroup PAC ID 9234408766, 4 clinicians

Practice addresses (Care Compare)

369 Lexington Ave
RM 800
New York, NY 10017-6536
Phone (347) 252-6732

626 Sheepshead Bay Rd
Suite 520
Brooklyn, NY 11224-3606
Phone (929) 363-0303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kotlyar Medical PC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 1, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Aug 1, 2012 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Nov 2, 2020 Accepting new patients
Long Island Anesthesiologists, PLLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Unique Pain Medicine PLLC PastSince Mar 1, 2015 Accepting new patients

Locations

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

233 E Shore Rd
Ste 101
Great Neck, NY 11023
Phone (516) 480-2444

1245 Colonial Rd
Hewlett, NY 11557
Phone (631) 295-2100

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

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

369 Lexington Ave
Rm 800
New York, NY 10017
Phone (347) 252-6732

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Organizations & group practices 7

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1689836074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842550",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-631-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BONNIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "264922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.