BONITA D GILLARD (NPI# 1760446918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760446918 |
| Entity Type | Individual |
| Full Name | BONITA D GILLARD |
| Credential | MD |
| Practice Address |
76 Stirling Rd Ste 201 Warren NJ 07059-5751 |
| Practice Telephone | 9087555437 |
| Practice Fax Number | 9087556905 |
| Mailing Telephone | 9087555437 |
| Mailing Fax Number | 9087556905 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA06487000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH HMO PIN | 2319999000 | 01 |
| NJ | CIGNA | 5572016011 | 01 |
| NJ | BCBS NJ HMO | K5537 | 01 |
| NJ | UNIVERSITY HEALTH PLAN | 25384 | 01 |
| NJ | AETNA HMO | 2355128 | 01 |
| NJ | AETNA PPO | 7963143 | 01 |
| NJ | OXFORD | P2173649 | 01 |
| Street Address |
76 STIRLING RD STE 201 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021181 | Watchung Pediatrics | Pediatrics | 76 Stirling Rd, Ste 201, Warren, NJ 07059-5751 | 2005-08-25 |
| 1629533039 | Dearey Therapy Services LLC | Pediatrics | 76 Stirling Rd, Warren, NJ 07059-5778 | 2019-02-10 |
| 1114499829 | Caitlin Hoskins | Behavioral Analyst | 76 Stirling Rd, Warren, NJ 07059-5778 | 2018-12-19 |
| 1194215913 | Benjamin David Rhodes | Behavioral Analyst | 76 Stirling Rd, Warren, NJ 07059-5778 | 2018-05-17 |
| 1962758789 | Communicare Ltd., Inc | Occupational Therapist | 76 Stirling Rd, Suite 204, Warren, NJ 07059-5778 | 2012-07-30 |
| 1588910301 | Michelle A Ortega | Speech-Language Pathologist | 76 Stirling Rd, Suite 204, Warren, NJ 07059-5778 | 2012-07-30 |
| 1174828065 | Jeffrey M Eng | Pediatrics | 76 Stirling Rd, Suite 201, Warren, NJ 07059-5778 | 2011-01-24 |
| 1730343468 | Karen Hardy Brandstaedter | Pediatrics | 76 Stirling Rd, Suite 201, Warren, NJ 07059-5778 | 2008-07-11 |
| 1225215619 | Susan Korb | Nurse Practitioner | 76 Stirling Rd, Suite 201, Warren, NJ 07059-5778 | 2008-01-28 |
| 1497932883 | Nancy H Montville | Nurse Practitioner | 76 Stirling Rd, Suite 201, Warren, NJ 07059-5778 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508247503 | Celebritypediatrics Inc | Pediatrics | 11 Debby Ln, Warren, NJ 07059-5012 | 2015-06-15 |
| 1871735779 | Justin Reynolds Kahn | Pediatrics | 8720 E Market St Ste 1c, Warren, OH 44484-2364 | 2009-03-24 |
| 1861652885 | Rajalakshmi Seshamani | Pediatrics | 5 Longford Ct, Warren, NJ 07059-6766 | 2008-06-12 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1568662211 | Allison Mclaurin Matthews | Pediatrics | 661 Mahoning Ave Nw, Warren, OH 44483-4607 | 2007-07-20 |
| 1275628794 | Michelle Desmet Foster | Pediatrics | 30061 Schoenherr, Suite A, Warren, MI 48088 | 2006-10-03 |
| 1851484406 | Peter J Francis | Pediatrics | 30661 Schoenherr, Suite A, Warren, MI 48088 | 2006-10-02 |
| 1669499547 | Sundus Fathalla Rummani-askar | Pediatrics | 26440 Hoover Rd Ste C, Warren, MI 48089-1190 | 2006-07-16 |
| 1346275591 | Lorin Michelle Levin | Pediatrics | 76 Stirling Road, Suite 201, Warren, NJ 07059-5778 | 2006-07-12 |
| 1407828304 | Giorgio James Vescera | Pediatrics | 2875 Parkman Rd Nw, Warren, OH 44485-1639 | 2006-02-03 |
| Find all providers in WARREN | ||||
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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.