DEXTER BONGATO
NPI 1245602853
Clinic/Center - Physical Therapy in Ridgewood, NY
About Dexter Bongato NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEXTER BONGATO (NPI 1245602853) is an individual physical therapy provider in Ridgewood, New York, licensed in New York (036357) and active in the NPI registry since October 2015.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dexter Bongato is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dexter Bongato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10455
- Reassigned Medicare billing, New York enrollment
- 15 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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGEWOOD, NY 11385
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 Dexter Bongato's NPI number?
The NPI number for Dexter Bongato is 1245602853. It was assigned to this individual provider in the NPPES registry on October 22, 2015.
Where is Dexter Bongato located?
Dexter Bongato practices at 6805 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (718) 456-2545.
What is Dexter Bongato's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Dexter Bongato enrolled in Medicare?
Yes. Dexter Bongato is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dexter Bongato's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dexter Bongato reassigns Medicare benefits to Central Park Physical Medicine And Rehabilitation P.C. (Bronx, NY). The 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 Dexter Bongato'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 Dexter Bongato was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.