Active NPIIndividual providerSole proprietor

Dr. John J Bonamo, MD

Orthopaedic Surgery, Sports Medicine in New Rochelle, New York

NPI Number1871754143
Practice location
15 Kingsbury RD, New Rochelle, NY 10804-4718
Fax
914-833-1376
Last updated
June 19, 2008

John J Bonamo is an Orthopaedic Surgery, Sports Medicine based in New Rochelle, NY. John J Bonamo practices in New Rochelle, NY and has the professional credentials of MD. The NPI Number for John J Bonamo is 1871754143 and holds a License No. 103909 (NY). The current practice location address for John J Bonamo is 15 Kingsbury RD, New Rochelle, NY 10804-4718 and can be reached out via phone at 917-864-2116 and via fax at 914-833-1376.

Provider Profile Details

NPI Number
1871754143
Provider Name
John J Bonamo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Kingsbury RD, New Rochelle, NY 10804-4718
Phone Number
917-864-2116
Fax Number
914-833-1376
Primary Taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2008
Last Update Date
June 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Kingsbury RD
New Rochelle, NY 10804-4718
Zip
10804-4718
Phone Number
917-864-2116
Fax Number
914-833-1376
New Rochelle, NY 10804Get directions →

Provider Business Mailing Address Details

Address
Po Box 397
Waccabuc, NY 10597-0397
City
Waccabuc
State
NY
Zip
10597-0397
Phone Number
917-864-2116
Fax Number
914-833-1376

License Information

License Number
103909
License State
NY
Taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X · 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. John J Bonamo, MD?

The NPI number of Dr. John J Bonamo, MD is 1871754143. It was assigned on June 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. John J Bonamo, MD?

Dr. John J Bonamo, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in NY under license number 103909.

Where does Dr. John J Bonamo, MD practice?

The practice location is 15 Kingsbury RD, New Rochelle, NY 10804-4718. The office can be reached at 917-864-2116 (phone) or 914-833-1376 (fax).

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 1871754143 directly on the NPPES registry website.

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