Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770801599 Individual Practitioner Female Practitioner

Deborah Ann Bordonaro , PA

Physician Assistant • Wading River, NY

Professional Overview & Biography Verified Profile Summary

Deborah Bordonaro, PA is a registered healthcare professional specializing in Physician Assistant in Wading River, NY. Practice services are available at 1866 WADING RIVER MANOR RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hospital observation care on day of discharge, subsequent observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1866 Wading River Manor Rd

Wading River, NY 117922137

Telephone 6319104200
Fax 6318757606
Associated Practice Facility / Clinic
🏢 Shoba Menon Md, Pc Facility NPI 1659816213

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wading River, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Wading River, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $460.00 $126.08

Medical Specialties & State Licenses

CMS Verified: 2025-10-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 004021

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Shoba Menon , MD

Internal Medicine

NPI 1154481539

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address October 13, 2025

Registered at 1866 WADING RIVER MANOR RD, WADING RIVER, NY 117922137 (Tel: 6319104200)

📍
Updated Practice Location September 05, 2025

Registered at 1866 WADING RIVER MANOR RD, WADING RIVER, NY 117922137 (Tel: 6319104200)

NPI Profile Active May 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2010

Registered at 625 BELLE TERRE RD, SUITE 100, PORT JEFFERSON STATION, NY 117772316 (Tel: 6314731320)

📍
Updated Business Mailing Address May 05, 2010

Registered at 3 DAY ST, PORT JEFFERSON STATION, NY 117763226 (Tel: 6319283902)

👤
Provider Name / Credentials Updated May 05, 2010

Recorded as DEBORAH BORDONARO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2010

Physician Assistant (License #004021 in NY)

🟢
Initial NPI Registration & Enumeration May 05, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770801599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2010
Last Update: October 13, 2025
Sole Proprietor: No

Mailing Address

1866 Wading River Manor Rd

Wading River, NY 117922137

Phone: 6319104200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.