Sergey V Bogdan, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

222300 Issued in NY

Practice address

8686 Bay Pkwy Ste M4
Brooklyn, NY 11214-5193

Phone

(718) 265-7700

Fax

(718) 265-7701

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sergey V Bogdan MD PCGroup PAC ID 7911935788, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Merit-based Incentive Payment System (MIPS)

Final score

69 of 100Reported as group

Quality

38.33

Promoting interoperability

85

Improvement activities

40

Cost

41.92

Merit-based Incentive Payment System (MIPS)

Final score

77.53 of 100Reported as individual

Quality

38.33

Improvement activities

40

Cost

74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: sbogdan425000@direct.ahsys.org

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.

• Sergey V. Bogdan, MD PC

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1568646982
  Medicare reassignment Care Compare group NPD
• Bogdan Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Freehold, NJ
  • NPI 1780917690
  Medicare reassignment NPD Authorized official
• NJ - S Bogdan MD PC

  • Interventional Pain Medicine Physician
  • Old Bridge, NJ
  • NPI 1508032673
  Medicare reassignment NPD Authorized official
• Bogdan Pain Management Services P.C.

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1568790053
  NPD (past) Authorized official
• M.a.G.a. Medical Care P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1730139932
  NPD (past)
• Ani Orthopaedics, P.C.

  • Orthopaedic Surgery Physician
  • Hazlet, NJ
  • NPI 1225174717
  NPD (past)

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

• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Holmdel, NJ
  • NPI 1740907336

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Bayshore Community Hospital

  • General Acute Care Hospital
  • Holmdel, NJ
  • NPI 1760994412
  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700894110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 KEUNE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041431",
            "telephone_number": "718-265-7700",
            "fax_number": "718-265-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 BAY PKWY STE M4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145193",
            "telephone_number": "718-265-7700",
            "fax_number": "718-265-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Professional View Dr Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077287902",
            "country_code": "US",
            "telephone_number": "732-577-9126",
            "fax_number": "732-577-9127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Perrine Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572836",
            "country_code": "US",
            "telephone_number": "732-553-1214",
            "fax_number": "732-553-1215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8686 Bay Pkwy",
            "address_2": "Ste M4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145103",
            "country_code": "US",
            "telephone_number": "718-265-7700",
            "fax_number": "718-265-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "SERGEY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "222300",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "222300",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA0719390",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA0719390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Sofia Bogatin
• Esther Bogatin, TEACHER
• Oksana Bogatyryova, DO
• Bogdan Pain Management Services P.C.
• Cheryl Lynn Bogdan
• Haley Marissa Bogdanoff
• Arina Bogdanova-Reiss, NP
• Dorian Atanas Bogdanovski, MD
• Gregory Bogen
• Zoe Boggs

• Interventional Pain Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.