Individual provider Active NPI

Anton Bogdanov, M.D.

  • Obstetrics & Gynecology Physician
  • New City, NY
National Provider Identifier
1891138152
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
288617 Issued in NY
Practice address
200 E Eckerson Rd Ste 160
New City, NY 10956-7166
Phone
(845) 634-8400
NPI assigned
Apr 16, 2013
Last updated
Jul 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 288617 NY Primary

Addresses

Primary practice location

200 E Eckerson Rd Ste 160
New City, NY 10956-7166

Mailing address

11 Evergreen PL
Demarest, NJ 07627-2440
Phone (917) 603-0785

Other identifiers 1

IdentifierTypeStateIssuer
04779420MedicaidNY

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
I20170612001259 NY Practitioner - Obstetrics/Gynecology 6406124684 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Plains Medical Diagnostic Services, PCGroup PAC ID 5395918932, 95 clinicians

Practice addresses (Care Compare)

200 E Eckerson Rd
Suite 160
New City, NY 10956-7166
Phone (845) 352-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288617NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Aug 1, 2019 Accepting new patients
Montefiore Nyack Hospital CurrentSince Jul 15, 2025 Accepting new patients
Montefiore Nyack Hospital CurrentSince Jul 15, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
Highland Medical P.C. CurrentSince Jul 15, 2025 Accepting new patients
Wyckoff Professional Medical Services, PC Obstetrics & Gynecology CurrentSince Mar 2, 2024 Accepting new patients
White Plains Medical Diagnostic Services, PC Obstetrics & Gynecology CurrentSince Jul 15, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2017 Accepting new patients
Wyckoff Heights Medical Center Past Accepting new patients

Locations

110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

200 E Eckerson Rd
Ste 160
New City, NY 10956
Phone (845) 352-5900

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

258 High Ave
Nyack, NY 10960
Phone (845) 348-2550

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1891138152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EVERGREEN PL",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076272440",
            "telephone_number": "917-603-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD STE 160",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567166",
            "telephone_number": "845-634-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOV",
        "first_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "288617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04779420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.