ROGER A BONOMO,MD,PC
NPI 1861647893
Psychiatry & Neurology - Neurology in New York, NY
About Roger A Bonomo,md,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER A BONOMO,MD,PC (NPI 1861647893) is a healthcare organization registered as a neurology in New York, New York and active in the NPI registry since November 2008. The organization lists Roger A Bonomo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roger A Bonomo,md,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Roger A Bonomo,md,pc, which bills Medicare for the services this clinician delivers.
Clinician (1)
New York, NY 10075
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 Roger A Bonomo,md,pc's NPI number?
The NPI number for Roger A Bonomo,md,pc is 1861647893. It was assigned to this organization in the NPPES registry on November 18, 2008.
Where is Roger A Bonomo,md,pc located?
Roger A Bonomo,md,pc is located at 47 E 77th St Suite 201, New York, NY 10075. The listed phone number is (646) 688-3443.
What is Roger A Bonomo,md,pc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Roger A Bonomo,md,pc enrolled in Medicare?
Yes. Roger A Bonomo,md,pc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roger A Bonomo,md,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Roger A Bonomo,md,pc. 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 Roger A Bonomo,md,pc was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Roger A Bonomo,md,pc · NPI 1861647893
Neurology organization in New York, New York. Organization record, active in the CMS NPPES registry since November 18, 2008.
## Identity
- **NPI:** 1861647893 (Entity type: Organization)
- **Enumerated:** November 18, 2008
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Roger Bonomo, PRESIDENT
## Practice location
- **Address:** 47 E 77TH ST, SUITE 201, New York, NY 10075-1730
- **Phone:** (646) 688-3443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1861647893) · Data from the CMS NPPES public registry.