JEROME E. BAGNER, DPM, P.C. (NPI# 1003160292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003160292 |
| Entity Type | Organization |
| Organization Name | JEROME E. BAGNER, DPM, P.C. |
| Practice Address |
30 Hempstead Ave Suite 158 Rockville Centre NY 11570-4033 |
| Practice Telephone | 5167646800 |
| Practice Fax Number | 5167647047 |
| Mailing Telephone | 5167646800 |
| Mailing Fax Number | 5167647047 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Authorized Official Name | DR. JEROME E BAGNER (PRESIDENT) |
| Authorized Official Telephone | 5167646800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N002233-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
30 HEMPSTEAD AVE SUITE 158 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607790 | Neal A. Sckolnick | Internal Medicine | 30 Hempstead Ave, Suite #145, Rockville Centre, NY 11570-4033 | 2005-08-27 |
| 1700302932 | Michele Anne Damo | Pharmacist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2017-08-18 |
| 1689113615 | Pamela Joyce Collins | Pharmacist | 30 Hempstead Ave, Suite 156, Rockville Centre, NY 11570-4033 | 2017-02-23 |
| 1699128983 | Brian Andres Pereira | Pharmacist | 30 Hempstead Ave, Suite 156, Rockville Centre, NY 11570-4033 | 2016-07-21 |
| 1861820722 | Valerie Garcia | Counselor | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2013-10-30 |
| 1134442064 | Daniel Radecker | Pharmacist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2010-03-06 |
| 1932438942 | Robert Abiuso Jr. | Occupational Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-22 |
| 1205165701 | Heather Sabatino | Physical Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-11 |
| 1023347523 | Rebecca T Budke | Physical Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-11 |
| 1932438629 | Rita Ingram | Occupational Therapist | 30 Hempstead Ave, Rockville Centre, NY 11570-4033 | 2009-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457629446 | Lawrence P. Horl, Dpm, PC | Podiatrist | 61 North Park Avenue, Rockville Centre, NY 11570 | 2011-12-06 |
| 1962409664 | Howard N. Kessler | Podiatrist | 200 N Village Ave, Suite 101, Rockville Centre, NY 11570-2341 | 2005-07-07 |
| 1861668022 | American Foot Care Center Li, PC | Podiatrist | 70 Maple Ave, Rockville Centre, NY 11570-4225 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159756 | West Side Foot Group, L.l.p. | Podiatrist | 244 W 54th St Fl 10, New York, NY 10019-5597 | 2020-09-21 |
| 1740815836 | Ernest L Isaacson Dpm PC | Podiatrist | 4 Technology Dr Ste 110, East Setauket, NY 11733-4068 | 2020-03-09 |
| 1619502242 | Westhampton Beach Podiatry P.C. | Podiatrist | 70 C Old Riverhead Road, Westhampton Beach, NY 11978 | 2020-03-04 |
| 1568025641 | Afsana Qader, Dpm P.c | Podiatrist | 182 Martine Ave, White Plains, NY 10601-3305 | 2019-04-15 |
| 1396233664 | Dr. Mariola Rivera Podiatry, Pllc | Podiatrist | 10 Mitchell Pl Ste 105, White Plains, NY 10601-4300 | 2018-04-23 |
| 1457856403 | Bgy Podiatry PC | Podiatrist | 9810 64th Ave Apt Gb, Rego Park, NY 11374-2501 | 2018-03-29 |
| 1184135568 | Active Podiatry Pllc | Podiatrist | 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 | 2017-10-12 |
| 1730623869 | Westside Podiatry Group | Podiatrist | 507 Beahan Rd, Rochester, NY 14624-3403 | 2016-12-08 |
| 1386191203 | Comprehensive Podiatric Foot Care Pllc | Podiatrist | 88-34 161th Street, Jamaica, NY 11432-4040 | 2016-09-08 |
| 1104277185 | Zhi Q Huang | Podiatrist | 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on JEROME E. BAGNER, DPM, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.