Individual provider Active NPI

Elias P Bonaros Jr., MD

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1720067531
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
215605 Issued in NY
Practice address
3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214
Phone
(516) 327-0001
Fax
(516) 326-9753
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 215605 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214

Mailing address

3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214
Phone (516) 327-0001

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
I20040810000433 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Internal Medicine 7719959832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants of LiGroup PAC ID 6709776941, 5 clinicians

Practice addresses (Care Compare)

3003 New Hyde Park Rd
Suite 411
New Hyde Park, NY 11042-1214
Phone (516) 327-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Family Medical Care, PC CurrentSince Nov 1, 2008 Accepting new patients
Cardiovascular Consultants of Li Cardiovascular Disease CurrentSince Jan 1, 1994 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease Past Accepting new patients
North Shore Long Island Jewish Healthcare Cardiovascular Disease Past Accepting new patients

Locations

340 E Main St
Bay Shore, NY 11706
Phone (631) 206-2901

3003 New Hyde Park Rd
Ste 411
New Hyde Park, NY 11042
Phone (516) 327-0001

3003 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 327-0001

27005 76th Ave
North New Hyde Pk, NY 11040

100 Port Washington Blvd
Ste 105
Roslyn, NY 11576
Phone (516) 390-9640

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elias.bonarosjrmd.p1@direct.ccli.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1720067531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 411",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-327-0001",
            "fax_number": "516-326-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 411",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-327-0001",
            "fax_number": "516-326-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAROS",
        "first_name": "ELIAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "215605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.