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DR. GREGORY N. BONASERA DC
NPI 1841374352
Chiropractor in Port Jefferson Station, NY

Active since October 24, 2006Accepts Medicare Assignment
1041 ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 828-4545(631) 642-1070 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2018, Nov 5, 2018 (2 updates tracked since 2018).

About Dr. Gregory N. Bonasera Dc NPPES

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

DR. GREGORY N. BONASERA DC (NPI 1841374352) is an individual chiropractor in Port Jefferson Station, New York, licensed in New York (X005301) and active in the NPI registry since October 2006. He is a graduate of New York Chiropractic College (1987).

NPPES Registry Identity

NPI1841374352
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GREGORY N. BONASERACredential: DC
Location Address1041 ROUTE 112Port Jefferson Station, NY 11776-6000
Mailing Address1041 Route 112Port Jefferson Station, NY 11776-6000 · (631) 445-1011 · Fax (631) 642-1070
Phone(631) 828-4545
Fax(631) 642-1070
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1987
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 14, 20182 updates tracked since enumeration
✔ NPI 1841374352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X005301
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1041 ROUTE 112, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Other Identifiers 1

Medicaid01738361NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory N. Bonasera Dc 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.

PECOS PAC ID9739427618
PECOS Enrollment IDI20190401001187

Other Providers at the Same Location NPPES 7

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

SOUTH SHORE WELLNESS PHYSICAL THERAPY PC
Physical Therapist
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-4545
COMMUNITY MEDICAL WELLNESS PC
Pain Medicine (Pain Medicine)
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (516) 314-5377
MS. BRITTNEY LEE SCHUSTER L.AC
Acupuncturist
1041 ROUTE 112, THREE ROADS PLAZA
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-4545
DR. ROBERT ALLEN ROOK DC
Chiropractor
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 646-2041
JESA KIANA CUYUGAN
Physical Therapist
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (805) 814-5259
M & A WELLNESS CORPORATION
Massage Therapist
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 303-0344
LISA BALLONI LMT
Massage Therapist
1041 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-4545

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 Gregory Bonasera's NPI number?

The NPI number for Gregory Bonasera is 1841374352. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Gregory Bonasera located?

Gregory Bonasera practices at 1041 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 828-4545.

What is Gregory Bonasera's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gregory Bonasera enrolled in Medicare?

Yes. Gregory Bonasera 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.

When was this NPI record last updated?

The NPPES record for Gregory Bonasera was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.