MR. JOSEPH BONANNO (NPI# 1750460960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750460960 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH BONANNO |
| Credential | D.O. |
| Practice Address |
3481 E Tremont Ave Bronx NY 10465-2016 |
| Practice Telephone | 7183198800 |
| Practice Fax Number | 7183198808 |
| Mailing Telephone | 7183198800 |
| Mailing Fax Number | 7183198808 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
187793 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 187793 | 01 |
| OXFORD NUMBER | P714659 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1811093057 | Joseph Bonanno | Internal Medicine | 26 Center Cir, Wassaic, NY 12592-2637 | 2006-09-15 |
| 1558339176 | Joseph A Bonanno | Specialist | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2006-03-09 |
| 1083619399 | Joseph J. Bonanno | Radiology | 1026 Mar Walt Dr, Fort Walton Beach, FL 32547-6645 | 2005-06-15 |
| 1245234822 | Joseph Bonanno | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2005-06-10 |
| Street Address |
3481 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10465-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453065 | Montefiore Medical Center | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2018-07-18 |
| 1942648555 | Montefiore Medical Center | Clinic/Center | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2013-06-06 |
| 1184916728 | Rmm Diagnostic Management | Technician, Other | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2011-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648272 | Kenya Walters | Registered Nurse | 2761 Sampson Ave #2b, Bronx, NY 10465 | 2018-11-13 |
| 1619487873 | Samantha Salaman | Registered Nurse | 233 Graff Ave, Bronx, NY 10465 | 2017-10-02 |
| 1689199424 | Hermany Limo Transportation LLC | Non-emergency Medical Transport (VAN) | 3432-b2 East Tremont Ave, Bronx, NY 10465 | 2017-08-12 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1104274653 | Vanessa Morales | Occupational Therapy Assistant | 3155 Miles Avenue, 1st Floor, Bronx, NY 10465 | 2016-05-25 |
| 1083060065 | Natasha Sustache | Registered Nurse | 3156a Miles Ave, Bronx, NY 10465 | 2016-05-10 |
| 1275905994 | Reagan Obiozor Anusionwu Np Psychiatry Pllc | Nurse Practitioner | 548 Throgs Neck Expwy, Bronx, NY 10465 | 2015-10-21 |
| 1386014363 | Ann Marie Gilligan | Speech-Language Pathologist | 3942 E.tremont Ave, Bronx, NY 10465 | 2015-10-02 |
| 1689075301 | Sean Kearns | Dentist | 3651 E Tremont Ave, Bronx, NY 10465 | 2014-09-12 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| Find all providers in zip 10465 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417346321 | Maryanne Yacoub Sourial | Internal Medicine | 3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539 | 2015-01-15 |
| 1437563137 | Bessy Suyin Flores Chang | Internal Medicine | 4422 3rd Ave Bldg 3, Bronx, NY 10457-2545 | 2014-06-20 |
| 1417225319 | Pablo Loarte Campos | Internal Medicine | 111 E 210th St Fl C2, Bronx, NY 10467-2401 | 2011-12-06 |
| 1437312758 | Bashar Ericsoossi | Internal Medicine | 1733 Eastchester Rd Ste 2, Bronx, NY 10461-2315 | 2008-07-07 |
| 1558532242 | Medical Diagnostic Nephrology, PC | Internal Medicine | 2409 Barker Ave, Bronx, NY 10467-7601 | 2008-03-20 |
| 1144310855 | Robert E Feingold | Internal Medicine | Mmc - Dept. of Nephrology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-13 |
| 1659304756 | Ritesh Raichoudhury | Internal Medicine | 1874 Pelham Pkwy S Apt Lr, Bronx, NY 10461-3749 | 2006-07-09 |
| 1629000948 | Mario A Henriquez | Internal Medicine | 2452 Bronx Park E, Bronx, NY 10467-7503 | 2006-07-07 |
| 1295711950 | Robert Chiles Alvis | Internal Medicine | 3468 Park Avenue, Bronx, NY 10456 | 2005-12-15 |
| 1053311209 | Maureen Brogan | Internal Medicine | 3400 Bainbridge Ave Fl 2, Bronx, NY 10467-2404 | 2005-07-29 |
| Find all providers in BRONX | ||||
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| 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.