DR. JEROME EDWARD BAGNER DPM
NPI 1609854249
Podiatrist in Rockville Centre, NY

Active since January 04, 2006
30 HEMPSTEAD AVE, STE 158, ROCKVILLE CENTRE, NY 11570(516) 764-6800(516) 764-7047 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerome Edward Bagner Dpm NPPES

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

DR. JEROME EDWARD BAGNER DPM (NPI 1609854249) is an individual podiatrist in Rockville Centre, New York, licensed in New York (0022331) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1609854249
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JEROME EDWARD BAGNERCredential: DPM
Location Address30 HEMPSTEAD AVE, STE 158Rockville Centre, NY 11570-4033
Mailing Address30 Hempstead Ave, Ste 158Rockville Centre, NY 11570-4033 · (516) 764-6800 · Fax (516) 764-7047
Fax(516) 764-7047
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateOctober 16, 2013
NPI 1609854249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in NY · 0022331
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
30 HEMPSTEAD AVE, Rockville Centre, NY 11570

Other Identifiers 4

Medicare NSC5925220001NY
Medicaid00405023NY
Medicare PINP2477100NY
Medicare UPINT50706

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot Surgery)
30 HEMPSTEAD AVE, SUITE 158
ROCKVILLE CENTRE, NY 11570
Psychiatry & Neurology (Psychiatry)
30 HEMPSTEAD AVE, SUITE 152
ROCKVILLE CENTRE, NY 11570
Physical Therapist
30 HEMPSTEAD AVE, SUITE 258
ROCKVILLE CENTRE, NY 11570
Physical Therapist
30 HEMPSTEAD AVE
ROCKVILLE CENTRE, NY 11570
Internal Medicine
30 HEMPSTEAD AVE, SUITE #145
ROCKVILLE CENTRE, NY 11570
Pharmacist
30 HEMPSTEAD AVE
ROCKVILLE CENTRE, NY 11570
Physical Therapist
30 HEMPSTEAD AVE, SUITE 258
ROCKVILLE CENTRE, NY 11570
Pharmacist
30 HEMPSTEAD AVE, SUITE 156
ROCKVILLE CENTRE, NY 11570

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 Jerome Bagner's NPI number?

The NPI number for Jerome Bagner is 1609854249. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Jerome Bagner located?

Jerome Bagner practices at 30 Hempstead Ave Ste 158, Rockville Centre, NY 11570. The listed phone number is (516) 764-6800.

What is Jerome Bagner's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Jerome Bagner was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.