DR. ROBERT J BONASERA (NPI# 1073537767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073537767 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J BONASERA |
| Credential | M.D. |
| Practice Address |
1205 Franklin Ave Ste 150 Garden City NY 11530 |
| Mailing Address |
1205 Franklin Ave Ste 150 Garden City NY 11530-1600 |
| Practice Telephone | 5162220067 |
| Practice Fax Number | 5162220071 |
| Mailing Telephone | 5162220067 |
| Mailing Fax Number | 5162220071 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
237615-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA # | FB 0033 059 | 01 |
| NY | LICENSE # | 237615 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 378 Syosset Woodbury Rd, Woodbury, NY 117971200 | 5169213900 | 5169211563 |
| Street Address |
1205 FRANKLIN AVE STE 150 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932542149 | Amy Tan | Internal Medicine | 1205 Franklin Ave Ste 150, Garden City, NY 11530 | 2013-04-08 |
| 1487917852 | Haseeb Ahmed | Internal Medicine | 1205 Franklin Ave Ste 150, Garden City, NY 11530 | 2012-06-20 |
| 1891868857 | Philip Raymond Cassar | Internal Medicine | 1205 Franklin Ave Ste 150, Garden City, NY 11530-1600 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588970727 | Bashar Suhail Hmoud | Internal Medicine | 6255 Inkster Rd Ste 104, Garden City, MI 48135-2538 | 2010-08-25 |
| 1194806075 | Chris Demetriou | Internal Medicine | 1205 Franklin Ave, Ste 150, Garden City, NY 11530 | 2006-10-18 |
| 1710526082 | Advanced Digestive Care, PC | Internal Medicine | 6255 Inkster Rd, Garden City, MI 48135-2577 | 2020-01-03 |
| 1053736132 | Gi Doc P.C. | Internal Medicine | 1205 Franklin Ave, Garden City, NY 11530-1629 | 2014-02-26 |
| 1932542149 | Amy Tan | Internal Medicine | 1205 Franklin Ave Ste 150, Garden City, NY 11530 | 2013-04-08 |
| 1356606743 | Sri Gastroenterology PC | Internal Medicine | 901 Stewart Ave, Garden City, NY 11530-4893 | 2012-07-11 |
| 1487917852 | Haseeb Ahmed | Internal Medicine | 1205 Franklin Ave Ste 150, Garden City, NY 11530 | 2012-06-20 |
| 1144581505 | Devi Medical PC | Internal Medicine | 901 Stewart Ave, Suite 262, Garden City, NY 11530-4893 | 2012-06-01 |
| 1386954279 | Chris Demetriou Md PC | Internal Medicine | 1205 Franklin Ave, Ste 150, Garden City, NY 11530-1629 | 2010-10-14 |
| 1700029485 | Eleazer Yousefzadeh | Internal Medicine | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1629 | 2009-04-10 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on DR. ROBERT J BONASERA.
| 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.