Active NPIIndividual provider

Melanie M Bonilla

Registered Nurse, Pediatrics in Newark, New Jersey

NPI Number1760306179
Practice location
65 Bergen St, Newark, NJ 07107-3001
Fax
—
Last updated
October 26, 2026

Melanie Marie Bonilla is a Registered Nurse, Pediatrics based in Newark, NJ. Melanie Marie Bonilla practices in Newark, NJ. The NPI Number for Melanie Marie Bonilla is 1760306179 and holds a License No. 26NR21746200 (NJ). The current practice location address for Melanie Marie Bonilla is 65 Bergen St, Newark, NJ 07107-3001 and can be reached out via phone at 908-858-2538.

Provider Profile Details

NPI Number
1760306179
Provider Name
Melanie Marie Bonilla
Provider Entity Type
Individual
Gender
Female
Address
65 Bergen St, Newark, NJ 07107-3001
Phone Number
908-858-2538
Primary Taxonomy
Registered Nurse, Pediatrics · 163WP0200X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2026
Last Update Date
October 26, 2026
Certification Date
October 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Bergen St
Newark, NJ 07107-3001
City
Newark
Zip
07107-3001
Phone Number
908-858-2538
Newark, NJ 07107Get directions →

Provider Business Mailing Address Details

Address
65 Bergen St
Newark, NJ 07107-3001
City
Newark
State
NJ
Zip
07107-3001
Phone Number
908-858-2538

License Information

License Number
26NR21746200
License State
NJ
Taxonomy
Registered Nurse, Pediatrics · 163WP0200X · 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 Melanie M Bonilla?

The NPI number of Melanie M Bonilla is 1760306179. It was assigned on August 7, 2026 and is currently active in the NPPES registry.

What is the specialty of Melanie M Bonilla?

Melanie M Bonilla is registered under the primary taxonomy Registered Nurse, Pediatrics (code 163WP0200X), licensed in NJ under license number 26NR21746200.

Where does Melanie M Bonilla practice?

The practice location is 65 Bergen St, Newark, NJ 07107-3001. The office can be reached at 908-858-2538 (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 1760306179 directly on the NPPES registry website.

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