MR. JOHN MARK CARLOS BONAGUA (NPI# 1477077535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477077535 |
| Entity Type | Individual |
| Full Name | MR. JOHN MARK CARLOS BONAGUA |
| Credential | AGNP |
| Practice Address |
612 Allerton Ave Bronx NY 10467-7404 |
| Mailing Address |
612 Allerton Avenue Bronx NY 10467 |
| Practice Telephone | 7185194029 |
| Mailing Telephone | 7185194000 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308120 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
612 ALLERTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-7404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710910369 | Beth Abraham Health Services | Skilled Nursing Facility | 612 Allerton Ave, Bronx, NY 10467-7404 | 2006-07-08 |
| 1992340608 | Jody Alaine Palo Lacson | Nurse Practitioner | 612 Allerton Ave, Bronx, NY 10467-7404 | 2019-11-18 |
| 1396399788 | Victoria Domenica Ferrante | Occupational Therapist | 612 Allerton Ave, Bronx, NY 10467-7404 | 2019-07-24 |
| 1053767848 | Abraham Operations Associates LLC | Skilled Nursing Facility | 612 Allerton Ave, Bronx, NY 10467-7404 | 2016-05-11 |
| 1528423514 | 612 Allerton Avenue Creative Arts Therapy Pllc | Music Therapist | 612 Allerton Ave, Bronx, NY 10467-7404 | 2015-12-18 |
| 1407122450 | Janeen Marshall | Internal Medicine | 612 Allerton Ave, Bronx, NY 10467-7404 | 2012-03-23 |
| 1871860411 | Harvey J Mandel Md PC | Ophthalmology | 612 Allerton Ave, Bronx, NY 10467-7404 | 2011-11-28 |
| 1558675090 | Rosa Kellogg | Registered Nurse | 612 Allerton Ave, Bronx, NY 10467-7404 | 2010-07-26 |
| 1104057090 | Kathleen Falk | Clinic/Center | 612 Allerton Ave, Bronx, NY 10467-7404 | 2009-07-27 |
| 1912144163 | Concetta Maria Tomaino | Music Therapist | 612 Allerton Ave, Bronx, NY 10467-7404 | 2009-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1205449113 | Alexandra Gomez | Nurse Practitioner | 2521 Hone Ave, Bronx, NY 10469-4401 | 2020-08-29 |
| 1457979510 | Judith Brady | Nurse Practitioner | 3240 Paulding Ave, Bronx, NY 10469-3843 | 2020-07-06 |
| 1023650850 | Andrew Lai | Nurse Practitioner | 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 | 2019-10-14 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1649794744 | Natasha Ann Pinheiro | Nurse Practitioner | 441 E Fordham Rd Lowr Level, Bronx, NY 10458-5149 | 2017-07-31 |
| 1467984633 | Analiza Benjamin | Nurse Practitioner | 1930 Mulford Ave, Bronx, NY 10461-4009 | 2017-03-28 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1790113355 | Marisa Brown | Nurse Practitioner | 245 Admiral Ln, Bronx, NY 10473-2446 | 2013-10-17 |
| 1568704591 | Sophia Nurani | Nurse Practitioner | 3144 3rd Ave, Bronx, NY 10451-4629 | 2013-03-15 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MR. JOHN MARK CARLOS BONAGUA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.