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Gary Bodenburg, MSED
NPI 1255693065 · Specialist · Garden City, NY
Gary Bodenburg, MSED is a Specialist provider in Garden City, NY (NPI 1255693065).
Provider details
- NPI number
- 1255693065
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MSED
- Sex
- Male
- Sole proprietor
- No
- License
- 1748234 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Garden City Plaza
350
Garden City, NY 11530
Phone: (516) 747-9030
Fax: (516) 393-9116
Street-level locationGet directions
Mailing address
23 Ruland Rd
Selden, NY 11784-2301
Registry dates
- Enumerated
- 2012-06-08
- Last updated
- 2012-06-08
Frequently asked questions
- What is Gary Bodenburg's NPI number?
- Gary Bodenburg's National Provider Identifier (NPI) is 1255693065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Bodenburg's specialty?
- Gary Bodenburg is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Gary Bodenburg located?
- Gary Bodenburg's practice location on file with NPPES is 300 Garden City Plaza, Garden City, NY 11530.
- What is Gary Bodenburg's phone number?
- The practice phone number listed in the NPPES registry for Gary Bodenburg is (516) 747-9030.
- Is Gary Bodenburg's NPI active?
- Yes — Gary Bodenburg's NPI (1255693065) is active in the NPPES registry as of the last update on 2012-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.