GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON – NPI #1306996954
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON is an otolaryngologist located in BAY SHORE, NY. NPPES has assigned the NPI number 1306996954 to GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON on January 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON” is a dba name, the actual legal business name for this organization is GREAT SOUTH BAY OTOLARYNGOLOGY PC. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 12 years ago on Oct 14, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON below.

NPI Profile for
GREAT SOUTH BAY OTOLARYNGOLOGY PC

NPI Number
1306996954
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT SOUTH BAY OTOLARYNGOLOGY PC
Doing Business As (dba): GARGANO BONAFEDE CAMPBELL ODONNELL BERGSON
Primary location
375 E MAIN ST
SUITE 17
BAY SHORE, NY 11706-8418
Phone: (631) 665-2430 Fax: (631) 665-2342
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT GARGANO
PRESIDENT
Phone: (631) 665-2430
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.