Active NPIIndividual provider

Estefania A Bonavera, MD

Counselor, Mental Health in South Orange, New Jersey

NPI Number1295630572
Practice location
153 Valley St Unit 315, South Orange, NJ 07079-2845
Fax
—
Last updated
October 8, 2026

Estefania Amanda Bonavera is a Counselor, Mental Health based in South Orange, NJ. Estefania Amanda Bonavera practices in South Orange, NJ and has the professional credentials of MD. The NPI Number for Estefania Amanda Bonavera is 1295630572 and holds a License No. 37AC01007300 (NJ). The current practice location address for Estefania Amanda Bonavera is 153 Valley St Unit 315, South Orange, NJ 07079-2845 and can be reached out via phone at 908-297-6265.

Provider Profile Details

NPI Number
1295630572
Provider Name
Estefania Amanda Bonavera
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
153 Valley St Unit 315, South Orange, NJ 07079-2845
Phone Number
908-297-6265
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 8, 2026
Last Update Date
October 8, 2026
Certification Date
October 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
153 Valley St Unit 315
South Orange, NJ 07079-2845
Zip
07079-2845
Phone Number
908-297-6265
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
153 Valley St Unit 215
South Orange, NJ 07079-2843
City
South Orange
State
NJ
Zip
07079-2843
Phone Number
908-297-6265

License Information

License Number
37AC01007300
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Estefania A Bonavera, MD?

The NPI number of Estefania A Bonavera, MD is 1295630572. It was assigned on October 8, 2026 and is currently active in the NPPES registry.

What is the specialty of Estefania A Bonavera, MD?

Estefania A Bonavera, MD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC01007300.

Where does Estefania A Bonavera, MD practice?

The practice location is 153 Valley St Unit 315, South Orange, NJ 07079-2845. The office can be reached at 908-297-6265 (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 1295630572 directly on the NPPES registry website.

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