Active NPIIndividual provider

Dr. Anthony J Boniello, MD

Orthopaedic Surgery in Princeton, New Jersey

NPI Number1154702249
Practice location
325 Princeton Ave, Princeton, NJ 08540-1617
Fax
—
Last updated
July 8, 2021

Anthony Jake Boniello is an Orthopaedic Surgery based in Princeton, NJ. Anthony Jake Boniello practices in Princeton, NJ and has the professional credentials of MD. The NPI Number for Anthony Jake Boniello is 1154702249 and holds a License No. MT209693 (PA). The current practice location address for Anthony Jake Boniello is 325 Princeton Ave, Princeton, NJ 08540-1617 and can be reached out via phone at 609-924-8131.

Provider Profile Details

NPI Number
1154702249
Provider Name
Anthony Jake Boniello
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 Princeton Ave, Princeton, NJ 08540-1617
Phone Number
609-924-8131
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2015
Last Update Date
July 8, 2021
Certification Date
July 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Princeton Ave
Princeton, NJ 08540-1617
Zip
08540-1617
Phone Number
609-924-8131
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
325 Princeton Ave
Princeton, NJ 08540-1617
City
Princeton
State
NJ
Zip
08540-1617
Phone Number
609-924-8131

License Information

License Number (1)
MT209693
License State (1)
PA
Taxonomy (1)
Orthopaedic Surgery · 207X00000X
License Number (2)
25MA10987700
License State (2)
NJ
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Anthony J Boniello, MD?

The NPI number of Dr. Anthony J Boniello, MD is 1154702249. It was assigned on June 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony J Boniello, MD?

Dr. Anthony J Boniello, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in PA under license number MT209693.

Where does Dr. Anthony J Boniello, MD practice?

The practice location is 325 Princeton Ave, Princeton, NJ 08540-1617. The office can be reached at 609-924-8131 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154702249 directly on the NPPES registry website.

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