Roger a Bonomo,MD,PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

138924 Issued in NY

Legal business name

ROGER A BONOMO,MD,PC

Practice address

47 E 77TH St
Suite 201
New York, NY 10075-1730

Phone

(646) 688-3443

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Roger A Bonomo, MDNPI 1851460174

Title

President

Phone

(646) 688-3443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger A Bonomo, MD

  • Neurology Physician
  • New York, NY
  • NPI 1851460174
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1861647893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E 77TH ST",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751730",
            "telephone_number": "646-688-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E 77TH ST",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751730",
            "telephone_number": "646-688-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A BONOMO,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-688-3443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "138924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen E Rogan, LCSW
• Michael T Rogan, LCSW
• Hannah Sara Rogawski, LMSW
• Wendy Rogel
• John Rogener Jr.
• Sarah Corinne Roger, MD
• Carla Sioux Rogers-Henry
• Alexandria Brianna Rogers, PH.D.
• Anastasiya Rogers, RN
• Brianna Rogers, M.S., CF-SLP

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.