John M Buonomo (NPI# 1619918638, PAC ID# 2961694997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619918638 |
| PAC ID by PECOS | 2961694997 |
| Professional Enrollment ID | I20101008001108 |
| Full Name | John M Buonomo |
| Address |
446 Domino Ln Philadelphia PA 19128-4364 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390304 | ROXBOROUGH MEMORIAL HOSPITAL |
| 390026 | CHESTNUT HILL HOSPITAL |
| 390111 | HOSPITAL OF UNIV OF PENNSYLVANIA |
| 390195 | MAIN LINE HOSPITAL LANKENAU |
| Address | Phone | Organization |
|---|---|---|
| 446 Domino Ln, Philadelphia, PA 19128-4364 |
| Street Address |
446 DOMINO LN |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19128-4364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D La Valle | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Darnell M Lorick | Nurse Practitioner | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Christina Hallquist | Clinical Social Worker | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Michael P Gray | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Erica M Brendel | Psychiatry | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Deborah A Carter | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Daniel T Fitzgerald | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Paul L Ezeukwu | Physical Therapy | Lyceum Physical Medicine, PC | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Samuel Schepart | Chiropractic | Lyceum Longevity Center Pllc | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Marlene Fox Goldwein | Internal Medicine | Einstein Community Health Associates Inc | 6001 Ridge Ave, Philadelphia, PA 19128-1651 |
| Find all physicians in zip 19128 | |||
| City | PHILADELPHIA |
| Zip Code | 19128 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHILADELPHIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John M Buonomo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.