VINCENT R BONAGURA (NPI# 1568556629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568556629 |
| Entity Type | Individual |
| Full Name | VINCENT R BONAGURA |
| Credential | MD |
| Practice Address |
865 Northern Blvd Suite 101 Great Neck NY 11021-5310 |
| Mailing Address |
175 Community Dr 2nd Floor Great Neck NY 11021-5502 |
| Practice Telephone | 5166225070 |
| Practice Fax Number | 5166225060 |
| Mailing Telephone | 5164651900 |
| Mailing Fax Number | 5164651830 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
127269 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00828937 | 05 |
| Street Address |
865 NORTHERN BLVD SUITE 101 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129584 | Frank Cacace | Internal Medicine | 865 Northern Blvd, Great Neck, NY 11021-5310 | 2006-01-21 |
| 1235749847 | Benjamin Langstein | Student in an Organized Health Care Education/Training Program | 865 Northern Blvd, Great Neck, NY 11021-5335 | 2020-08-07 |
| 1972043123 | Rachel Stephanie Kashan | Student in an Organized Health Care Education/Training Program | 865 Northern Blvd, Suite 102, Great Neck, NY 11021-5335 | 2017-03-06 |
| 1932644242 | Leslie Hannah Rosenberg | Social Worker | 865 Northern Blvd, Suite 102, Great Neck, NY 11021-5335 | 2016-12-21 |
| 1811346083 | Douglas Lambert | Internal Medicine | 865 Northern Blvd, Great Neck, NY 11021-5335 | 2016-06-08 |
| 1417331638 | Diana Bernier | Nurse Practitioner | 865 Northern Blvd, Suite 101, Great Neck, NY 11021-5335 | 2015-07-17 |
| 1306233622 | Rosa Cui | Obstetrics & Gynecology | 865 Northern Blvd, Great Neck, NY 11021-5335 | 2015-04-24 |
| 1801283957 | Heather Bigby | Nurse Practitioner | 865 Northern Blvd, Great Neck, NY 11021-5335 | 2015-04-15 |
| 1013315654 | Sarah Haseney | Nurse Practitioner | 865 Northern Blvd, Great Neck, NY 11021-5335 | 2014-12-14 |
| 1841610060 | Sushmitha Echt | Hospitalist | 865 Northern Blvd, Suite 203, Great Neck, NY 11021 | 2014-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184795270 | Blanka Kaplan | Pediatrics | Sch - Dept of Allergy Immunology, 865 Northern Boulevard, Great Neck, NY 11021 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588059448 | Melissa Danielle Gans | Pediatrics | 19 Bradhurst Ave Ste 1400, Hawthorne, NY 10532-2144 | 2015-03-30 |
| 1164711453 | Bhumika Patel | Pediatrics | Dept. of Medicine Hsc T16, Stony Brook University Hospital, Stony Brook, NY 11794 | 2011-04-07 |
| 1831253681 | Caroline G Bauman | Pediatrics | 115 Davis Ave, White Plains, NY 10605 | 2006-12-19 |
| 1447344577 | James C Fagin | Pediatrics | 1 Dakota Drive, Suite 312, Lake Success, NY 11042 | 2006-10-03 |
| 1346355625 | Elizabeth Joy Loewy-vukic | Pediatrics | 160 W End Ave Apt 1h, New York, NY 10023-5602 | 2006-08-20 |
| 1245273135 | Daniel Mayer | Pediatrics | 263 East Main Street, Smithtown, NY 11787 | 2006-06-14 |
| 1225070303 | Kalpana Patel | Pediatrics | 10 S Snedecor Ave, Bayport, NY 11705-2133 | 2006-06-12 |
| 1447549019 | Elizabeth Feuille | Pediatrics | 505 E 70th St Fl 3, New York, NY 10021-4872 | 2011-04-04 |
| 1376845453 | Advanced Allergy & Asthma Assessment & Diagnostic, P.C. | Pediatrics | 202-28 45th Avenue, Bayside, NY 11361-2540 | 2010-11-23 |
| 1184941213 | Irina Katayeva | Pediatrics | 800 Poly Pl, Brooklyn, NY 11209 | 2010-04-29 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on VINCENT R BONAGURA.
| 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.