Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Advaith Bongu, MD

Individual provider Transplant Surgery Physician · NPI 1356577035

Dr. Advaith Bongu, MD is a General Surgery in New York, New York. Graduated from Rutgers New Jersey Medical School in 2009, 17 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
17
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-0914
Fax: (212) 305-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA09499200 (NJ)
Transplant Surgery Physician Taxonomy 204F00000X · Licence 283949 (NY)
Transplant Surgery Physician Taxonomy 204F00000X · Licence 25MA09499200 (NJ)

Record details

NPI number1356577035
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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