Edwin A Bonilla, PMHNP
Nurse Practitioner, Psych/Mental Health in Westfield, New Jersey
1972247104- Practice location
- 354 South Ave E, Westfield, NJ 07090-1788
- Phone
- 908-233-8065
- Fax
- —
- Last updated
- May 23, 2022
Edwin A Bonilla is a Nurse Practitioner, Psych/Mental Health based in Westfield, NJ. Edwin A Bonilla practices in Westfield, NJ and has the professional credentials of PMHNP. The NPI Number for Edwin A Bonilla is 1972247104 and holds a License No. 26NJ01308100 (NJ). The current practice location address for Edwin A Bonilla is 354 South Ave E, Westfield, NJ 07090-1788 and can be reached out via phone at 908-233-8065.
Provider Profile Details
- NPI Number
- 1972247104
- Provider Name
- Edwin A Bonilla
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 354 South Ave E, Westfield, NJ 07090-1788
- Phone Number
- 908-233-8065
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 25, 2022
- Last Update Date
- May 23, 2022
- Certification Date
- May 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 354 South Ave E
Westfield, NJ 07090-1788 - City
- Westfield
- State
- New Jersey
- Zip
- 07090-1788
- Phone Number
- 908-233-8065
Provider Business Mailing Address Details
- Address
- 354 South Ave E
Westfield, NJ 07090-1788 - City
- Westfield
- State
- NJ
- Zip
- 07090-1788
License Information
- License Number (1)
- 26NJ01308100
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- 26NR16611700
- License State (2)
- NJ
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Edwin A Bonilla, PMHNP?
The NPI number of Edwin A Bonilla, PMHNP is 1972247104. It was assigned on April 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Edwin A Bonilla, PMHNP?
Edwin A Bonilla, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01308100.
Where does Edwin A Bonilla, PMHNP practice?
The practice location is 354 South Ave E, Westfield, NJ 07090-1788. The office can be reached at 908-233-8065 (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 1972247104 directly on the NPPES registry website.