MRS. BAOKIM NGUYEN BONELLI (NPI# 1841627353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841627353 |
| Entity Type | Individual |
| Full Name | MRS. BAOKIM NGUYEN BONELLI |
| Credential | PA-C |
| Practice Address |
214 Sullivan St Suite/apt # New York NY 10012-1354 |
| Mailing Address |
26 Firemans Memorial Drive Suite 115 Pomona NY 10970 |
| Practice Telephone | 2123853700 |
| Practice Fax Number | 2123853703 |
| Mailing Telephone | 8007508616 |
| Mailing Fax Number | 8453628474 |
| Enumeration Date | 2013-09-28 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017064 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
214 SULLIVAN ST SUITE/APT # |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760770465 | Mary Fatimah Weening | Acupuncturist | 214 Sullivan St, Suite 3b, New York, NY 10012-1354 | 2011-07-14 |
| 1821563438 | Kristen Ann Franceschina | Physician Assistant | 214 Sullivan St, New York, NY 10012-1354 | 2018-10-10 |
| 1457887234 | Maria Geyman | Naturopath | 214 Sullivan St, Suite 3b, New York, NY 10012-1354 | 2017-05-11 |
| 1346622297 | Remede Naturopathics | Acupuncturist | 214 Sullivan St, 3b, New York, NY 10012-1354 | 2015-06-26 |
| 1053798900 | Henry Heaton | Dermatology | 214 Sullivan St, New York, NY 10012-1354 | 2015-04-29 |
| 1588075386 | Andrew Jarad Peranteau | Dermatology | 214 Sullivan St, New York, NY 10012-1354 | 2014-05-14 |
| 1801219670 | Kara Nicole Peck | Physician Assistant | 214 Sullivan St, New York, NY 10012-1354 | 2014-01-29 |
| 1831521046 | Melanie S. Nevid | Physician Assistant | 214 Sullivan St, New York, NY 10012-1354 | 2013-07-30 |
| 1588929327 | Ryan Michael Neinstein | Specialist | 214 Sullivan St, New York, NY 10012-1354 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
| Find all providers in zip 10012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
| Find all providers in NEW YORK | ||||
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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.