NPPES file of Aug 9, 2026

Gary Charles Bodenburg, MSED

Specialist · Garden City, NY

Gary Charles Bodenburg, MSED is a specialist with a practice address in Garden City, New York, and NPI 1255693065, issued on Jun 8, 2012. Check the license (New York 1748234, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255693065
Name
Gary Charles Bodenburg
Credential
MSED
Primary taxonomy
Specialist 174400000X
License number
1748234 NY
Self-reported in NPPES; status is on the state search
Practice location
300 Garden City Plaza, Garden City, NY 11530
Phone
(516) 747-9030
Enumerated
Jun 8, 2012
Record last updated
Jun 8, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(516) 393-9116
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 300 Garden City Plaza

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Syed AbidiPsychiatry Physician1124131560
  2. Kristi BocchieriBehavior Analyst1629406921
  3. Molly DrakeSpecialist1295234896
  4. Angela Farinacci, MSSpecialist1487916052
  5. Kim Fitzgerald, MSEDSpecialist1235491960
  6. Mandy Kelly, MSEDSpecialist1811241862

Verify Gary Charles Bodenburg in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 1748234
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Gary Charles Bodenburg among 22,636 specialist records in New York

Gary Charles Bodenburg, MSED is one of 22,636 specialist records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 15% of them.

  • NPI issued2012 · 15% of these records are older, 61% newer
  • In a Medicare fileNo · 6% of these records are
  • In the CMS Doctors and Clinicians fileNo · 4% of these records are
  • Record last updated2012 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

129 specialist records list a practice address in Garden City

They are 129 of the 2,065 NPPES records with a practice address in Garden City, and 22,636 specialist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 specialist records with the nearest ZIP codes

  1. Leilani Balagot Chingcuangco, M.D.Garden City, NY 115301942269378
  2. Bruce Brewer, M.D.Garden City, NY 115301861461006
  3. Thomas Davenport, M.D.Garden City, NY 115301174583405
  4. Leland Deane, M.D.Garden City, NY 115301770552911
  5. Barry Douglas, M.D.Garden City, NY 115301235108515
  6. Laurence Glickman, M.D.Garden City, NY 115301144289158
  7. Edward Katime, M.D.Garden City, NY 115301891776084
  8. Matthew Kilgo, M.D.Garden City, NY 115301487613436

Common questions

What is Gary Charles Bodenburg, MSED's NPI number?

Gary Charles Bodenburg, MSED's National Provider Identifier (NPI) is 1255693065, issued on Jun 8, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Gary Charles Bodenburg, MSED located?

The NPPES record lists a practice address at 300 Garden City Plaza, Garden City, NY, 11530. Phone: (516) 747-9030. Providers update this record themselves, so call before visiting.

How can I verify Gary Charles Bodenburg, MSED's license?

NPPES lists New York license number 1748234, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.