DR. MELISSA BONILLA (NPI# 1922106087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922106087 |
| Entity Type | Individual |
| Full Name | DR. MELISSA BONILLA |
| Credential | MD |
| Practice Address |
60 West Main Street Freehold NJ 07728 |
| Mailing Address |
69 W Main St Freehold NJ 07728-2114 |
| Practice Telephone | 7324093633 |
| Practice Fax Number | 7324097133 |
| Mailing Telephone | 7324093633 |
| Mailing Fax Number | 7324097133 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA08165700 | NJ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 233173 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0120995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562526 | Melissa Bonilla | Physician Assistant | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2005-07-20 |
| Street Address |
60 WEST MAIN STREET |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| 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 |
|---|---|---|---|---|
| 1093844904 | Rima Daghistani | Pediatrics | 315 West Main St., Suite A, Freehold, NJ 07728 | 2007-03-05 |
| 1669578910 | Corazon Suarez Velez | Pediatrics | 1000 West Main Street, Medical Specialists Associates, P.a., Freehold, NJ 07728 | 2006-09-15 |
| 1528088473 | Anthony Emanuel | Pediatrics | 470 Stillwells Corner Rd, Freehold, NJ 07728-2969 | 2006-07-20 |
| 1255386876 | Florence Ethel Ibale | Pediatrics | 901 W Main Street, Centrastate Medical Center, Freehold, NJ 07728 | 2006-05-23 |
| 1447248935 | Jeffrey Steven Wolfe | Pediatrics | 315 West Main Street, Freehold, NJ 07728 | 2005-10-10 |
| 1770571168 | Arvind M Patel | Pediatrics | 315 West Main Street Ste A, Freehold, NJ 07728 | 2005-10-10 |
| 1497757363 | Lori Alyson Rosenberg | Pediatrics | 315 W Main St, Suite A, Freehold, NJ 07728 | 2005-08-11 |
| 1760957534 | Advocare, LLC | Pediatrics | 470 Stillwells Corner Rd, Freehold, NJ 07728-2969 | 2018-10-09 |
| 1598214280 | Caroline Youssef | Pediatrics | 69 W Main St, Freehold, NJ 07728-2114 | 2016-09-23 |
| 1982096079 | Inpatient Pediatric Associates LLC | Pediatrics | 901 W Main St, Freehold, NJ 07728-2537 | 2015-02-26 |
| Find all providers in FREEHOLD | ||||
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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.