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NJ - S BOGDAN MD PC
NPI 1508032673
Pain Medicine - Interventional Pain Medicine in Old Bridge, NJ

Active since May 07, 2008
200 PERRINE RD STE 224, OLD BRIDGE, NJ 08857(732) 553-1214(732) 553-1215 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2020, Mar 6, 2019, Nov 28, 2018 and 2 more (5 updates tracked since 2018).

About Nj - S Bogdan Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NJ - S BOGDAN MD PC (NPI 1508032673) is a healthcare organization registered as an interventional pain medicine in Old Bridge, New Jersey and active in the NPI registry since May 2008. The organization lists Sergey V Bogdan, Owner, as its authorized official.

NPPES Registry Identity

NPI1508032673
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameNJ - S BOGDAN MD PC
Location Address200 PERRINE RD STE 224Old Bridge, NJ 08857-2836
Mailing Address62 Keune CtStaten Island, NY 10304-1431 · (718) 265-7700 · Fax (718) 265-7701
Phone(732) 553-1214
Fax(732) 553-1215
Organization SubpartNo
Authorized OfficialSergey V BogdanOwner · (732) 553-1214
Enumeration DateMay 7, 2008
Last NPPES UpdateJanuary 16, 20205 updates tracked since enumeration
✔ NPI 1508032673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
200 PERRINE RD STE 224, Old Bridge, NJ 08857
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nj - S Bogdan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20080617000008Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nj - S Bogdan MD PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Sergey Bogdan, M.D.
Interventional Pain Management
NPI 1700894110
8686 BAY PKWY STE M4
Brooklyn, NY 11214
(718) 265-7700
✔ PECOS✔ Accepts Medicare20 mi
Eric Tam, MD
Physical Medicine and Rehabilitation
NPI 1932629201
250 HARRISON AVE APT 4H
Mineola, NY 11501
(646) 339-9262
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nj - S Bogdan MD PC's NPI number?

The NPI number for Nj - S Bogdan MD PC is 1508032673. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Nj - S Bogdan MD PC located?

Nj - S Bogdan MD PC is located at 200 Perrine Rd Ste 224, Old Bridge, NJ 08857. The listed phone number is (732) 553-1214.

What is Nj - S Bogdan MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Nj - S Bogdan MD PC enrolled in Medicare?

Yes. Nj - S Bogdan MD PC is registered in the Medicare PECOS enrollment system.

When is Nj - S Bogdan MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nj - S Bogdan MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nj - S Bogdan MD PC, in Interventional Pain Management and Physical Medicine and Rehabilitation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nj - S Bogdan MD PC was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.