Active NPIIndividual provider

Dr. Melissa Bonilla, MD

Pediatrics in Freehold, New Jersey

NPI Number1922106087
Practice location
60 West Main Street, Freehold, NJ 07728
Fax
732-409-7133
Last updated
January 13, 2011

Melissa Bonilla is a Pediatrics based in Freehold, NJ. Melissa Bonilla practices in Freehold, NJ and has the professional credentials of MD. The NPI Number for Melissa Bonilla is 1922106087 and holds a License No. 233173 (NY). The current practice location address for Melissa Bonilla is 60 West Main Street, Freehold, NJ 07728 and can be reached out via phone at 732-409-3633 and via fax at 732-409-7133.

Provider Profile Details

NPI Number
1922106087
Provider Name
Melissa Bonilla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
60 West Main Street, Freehold, NJ 07728
Phone Number
732-409-3633
Fax Number
732-409-7133
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
January 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 West Main Street
Freehold, NJ 07728
Zip
07728
Phone Number
732-409-3633
Fax Number
732-409-7133
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
69 W Main St
Freehold, NJ 07728-2114
City
Freehold
State
NJ
Zip
07728-2114
Phone Number
732-409-3633
Fax Number
732-409-7133

License Information

License Number (1)
233173
License State (1)
NY
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA08165700
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · 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. Melissa Bonilla, MD?

The NPI number of Dr. Melissa Bonilla, MD is 1922106087. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Melissa Bonilla, MD?

Dr. Melissa Bonilla, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 233173.

Where does Dr. Melissa Bonilla, MD practice?

The practice location is 60 West Main Street, Freehold, NJ 07728. The office can be reached at 732-409-3633 (phone) or 732-409-7133 (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 1922106087 directly on the NPPES registry website.

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