CLARISSA ANN BONANNO M.D.
NPI 1164673349
Obstetrics & Gynecology - Maternal & Fetal Medicine in New Hyde Park, NY
About Clarissa Ann Bonanno M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARISSA ANN BONANNO M.D. (NPI 1164673349) is an individual maternal & fetal medicine provider in New Hyde Park, New York, licensed in New York (236458) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2002).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clarissa Ann Bonanno M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Clarissa Bonanno reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: The New York And Presbyterian Hospital
- 174 clinicians in this Medicare group
Fort Lee, NJ 07024
- Reassigned Medicare billing, New York enrollment
- 1,048 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clarissa Bonanno's NPI number?
The NPI number for Clarissa Bonanno is 1164673349. It was assigned to this individual provider in the NPPES registry on October 6, 2008.
Where is Clarissa Bonanno located?
Clarissa Bonanno practices at 1111 Marcus Ave Ste M10c, New Hyde Park, NY 11042. The listed phone number is (212) 266-3500.
What is Clarissa Bonanno's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.
Is Clarissa Bonanno enrolled in Medicare?
Yes. Clarissa Bonanno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Clarissa Bonanno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Bonanno reassigns Medicare benefits to 3 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), New York And Presbyterian Hosp (New York, NY) and Trustees Of Columbia University In The City Of New York (Fort Lee, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarissa Bonanno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clarissa Bonanno was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clarissa Ann Bonanno, M.D. · NPI 1164673349
Maternal & Fetal Medicine physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since October 6, 2008.
## Identity
- **NPI:** 1164673349 (Entity type: Individual)
- **Enumerated:** October 6, 2008
- **Primary specialty:** Obstetrics & Gynecology - Maternal & Fetal Medicine · taxonomy 207VM0101X
- **State license:** 236458 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 MARCUS AVE STE M10C, New Hyde Park, NY 11042-2036
- **Phone:** (212) 266-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); New York And Presbyterian Hosp (NPI 1912173329, New York, NY); Trustees Of Columbia University In The City Of New York (NPI 1982993184, Fort Lee, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2002
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164673349) · Data from the CMS NPPES public registry.