Bognay Dury Domanas, LICENSED PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025921-1 Issued in NY

Practice address

4012 80TH St
Elmhurst, NY 11373-1234

Phone

(718) 426-9595

Fax

(718) 426-2729

NPI assigned

May 31, 2006

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Pinoy Physical Therapy, PC

  • Specialist
  • Elmhurst, NY
  • NPI 1437196706

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Metro Dermatology of Ny,PC

  • Physician Assistant
  • Flushing, NY
  • NPI 1336343268
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1912954140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 80TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731234",
            "telephone_number": "718-426-9595",
            "fax_number": "718-426-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 80TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731234",
            "telephone_number": "718-426-9595",
            "fax_number": "718-426-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANAS",
        "first_name": "BOGNAY",
        "middle_name": "DURY",
        "name_prefix": "Mr.",
        "credential": "LICENSED PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025921-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02692708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chime Dolkar, FNP
• Phurbu Dolker
• Karma Dolma
• Lhakpa Dolma
• Pema Dolma
• Maria De Los Angeles Dominicis, M.D.
• Alex Amoako Dompreh Sr., DNP
• Gulbahar P Donn, M.D.
• Sonia Dorsaint
• Marie Claude Dorvil

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.