Marie L Bonvicino (NPI# 1407891609, PAC ID# 6103868070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1407891609 |
| PAC ID by PECOS | 6103868070 |
| Professional Enrollment ID | I20070925000404 |
| Full Name | Marie L Bonvicino |
| Organization Legal Name | LIFELINE MEDICAL ASSOCIATES, LLC |
| Address |
302 Candlewood Commons Alan Cohen Md Howell NJ 07731-2170 |
| Phone Number | 7329058111 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1456332170 |
| Number of Group Practice Members | 139 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310041 | COMMUNITY MEDICAL CENTER |
| 310052 | OCEAN MEDICAL CENTER |
| 310075 | MONMOUTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16 Pocono Rd, Denville, NJ 07834-2905 | LIFELINE MEDICAL ASSOCIATES, LLC | |
| 302 Candlewood Commons, Alan Cohen Md, Howell, NJ 07731-2170 | 7329058111 | LIFELINE MEDICAL ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 83% |
| Organization Legal Name | LIFELINE MEDICAL ASSOCIATES, LLC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela D Mcdowell | Certified Nurse Midwife | Lifeline Medical Associates, LLC | 2 Sears Dr Unit, 104 Comprehensive Womens Care of Paramus, Paramus, NJ 07652-3525 |
| Anita Stern | Nurse Practitioner | Lifeline Medical Associates, LLC | 270 Old Hook Rd, Westwood, NJ 07675-3117 |
| Dori B Murphy | Nurse Practitioner | Lifeline Medical Associates, LLC | 59 Franklin St, Ian J Gluck, Morristown, NJ 07960-8635 |
| Monique E Schneider | Nurse Practitioner | Lifeline Medical Associates, LLC | 222 Oak Ave, Toms River, NJ 08753-3348 |
| Christina Warner | Nurse Practitioner | Lifeline Medical Associates, LLC | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 |
| Frances N Schulte | Nurse Practitioner | Lifeline Medical Associates, LLC | 101 Madison Ave, Suite 405, Morristown, NJ 07960-7305 |
| Vivian V Mishan | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 1540 Hwy 138 W, Suite 206, Wall, NJ 07719-3765 |
| Kimberly S Schad | Certified Nurse Midwife (cnm) | Lifeline Medical Associates, LLC | 653 Willow Grove St, 2000 All About Women's Healthcare, Hackettstown, NJ 07840-1732 |
| Jessica Fischetti Galvin | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 590 W Kennedy Blvd, Moty Tal Md, Lakewood, NJ 08701-1241 |
| Jacqueline Roman | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 1300 Hwy 35 Plaza 2, Moty Tai Md, Ocean, NJ 07712 |
| Street Address |
302 CANDLEWOOD COMMONS ALAN COHEN MD |
| City | HOWELL |
| State | NJ |
| Zip | 07731-2170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Sutherland | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 302 Candlewood Commons, Alan Cohen Md, Howell, NJ 07731-2170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Koretzky | Internal Medicine | 4618 Rt 9, Howell, NJ 07731 | |
| Anthony Fiorilli Jr. | Podiatry | Monmouth Family Foot and Ankle LLC | 502 Candlewood Commons, Howell, NJ 07731 |
| Brian A Kohler | Chiropractic | 555 Aldrich Rd, Howell, NJ 07731-1905 | |
| Tom Jones | Clinical Social Worker | 699 Aldrich Rd, Howell, NJ 07731-1923 | |
| Christina Marie Walters | Psychologist, Clinical | Walters Psychological LLC | 504 Aldrich Rd, Suite 2c, Howell, NJ 07731-1939 |
| Megan Rudman | Clinical Social Worker | Walters Psychological LLC | 504 Aldrich Rd, Howell, NJ 07731-1939 |
| Richard A Salman | Oral Surgery | 100 Candlewood Commons, Howell, NJ 07731-2168 | |
| Karen A Abood Bruno | Physical Therapy | Connect Physical Therapy East P C | 201 Candlewood Cmns, Howell, NJ 07731-2169 |
| Rupa J Panchal | Internal Medicine | 200 Candlewood Cmns, Suite 2, Howell, NJ 07731-2169 | |
| Michelle P Dela Rosa | Physical Therapy | Connect Physical Therapy East P C | 201 Candlewood Cmns, Howell, NJ 07731-2169 |
| Find all physicians in zip 07731 | |||
| City | HOWELL |
| Zip Code | 07731 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | HOWELL + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Marie L Bonvicino.
| 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.