Deborah Ann Bordonaro, PA
Individual provider Active NPI Physician Assistant · Wading River, NY
NPI 1770801599 · NPPES record last updated Oct 13, 2025
Key facts
- NPI
- 1770801599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 004021 (NY)
- Practice address
- 1866 Wading River Manor Rd
Wading River, NY 11792-2137 - Phone
- (631) 910-4200
- Fax
- (631) 875-7606
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
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 |
|---|---|---|---|---|
| I20040405000334 | NY | Practitioner - Physician Assistant | 7113910431 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (13 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damian Family Care Centers, Inc. | Current |
Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| Damian Family Care Centers, Inc. | Current |
Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current |
Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T Mather Memorial Hospital | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current |
Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients |
Locations
8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000
13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
625 Belle Terre Rd
Ste 100
Prt Jefferson, NY 11777
Phone (631) 686-7603
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- dbordonaro76875@direct-chsli.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004021 | NY | Yes |
Addresses
Primary practice location
1866 Wading River Manor Rd
Wading River, NY 11792-2137
Mailing address
1866 Wading River Manor Rd
Wading River, NY 11792-2137
Phone (631) 910-4200
Other names
- Deborah Ann Vogel
Other providers in Wading River, NY
- Sharon Bendzlowicz-Vogt
- Juliana Mazzzone Berko
- Robert Bernard
- John Viktor Blatny
- Michelle Marie Bongiovanni
- Courtney Marie Braun
- Diane Marie Brayer
- Charles Breitstadt
- Jon Neil Brodbeck
- Tesia Marie Brooks
All providers in Wading River, NY · 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 Oct 13, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.