John Mark Carlos Bonagua (NPI# 1477077535, PAC ID# 6406122191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477077535 |
| PAC ID by PECOS | 6406122191 |
| Professional Enrollment ID | I20171025000498 |
| Full Name | John Mark Carlos Bonagua |
| Organization Legal Name | MEDICAL DIRECTOR SERVICES PC |
| Address |
612 Allerton Ave Bronx NY 10467-7404 |
| Phone Number | 7185194125 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042501116 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 612 Allerton Ave, Bronx, NY 10467-7404 | 7185194125 | MEDICAL DIRECTOR SERVICES PC |
| Organization Legal Name | MEDICAL DIRECTOR SERVICES PC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Shea | Nurse Practitioner | Medical Director Services PC | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 |
| Deinma Ibulubo | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Jackline B Ngalame | Nurse Practitioner | Medical Director Services PC | 217 E Ave, Minoa, NY 13116-1205 |
| Pamela Renee Bethel-wilson | Nurse Practitioner | Medical Director Services PC | 50 Sheffield Ave, Brooklyn, NY 11207-2420 |
| Jaya Francis Mathew | Nurse Practitioner | Medical Director Services PC | 12 Tibbits Ave, White Plains, NY 10606-2438 |
| Seeta Ganpat | Nurse Practitioner | Medical Director Services PC | 19544 Woodhull Ave, Hollis, NY 11423-2982 |
| Hardik I Patel | Family Medicine | Medical Director Services PC | 1045 W St, Carthage, NY 13619-9762 |
| Anna Lidia Wojtaszek | Nurse Practitioner | Medical Director Services PC | 3062 County Complex Dr, Canandaigua, NY 14424-9502 |
| Nazia Habib | Internal Medicine | Medical Director Services PC | 526 Altamont Ave, Schenectady, NY 12303-1039 |
| Thomas F Kandora | Internal Medicine | Medical Director Services PC | 17 Madison St, Granville, NY 12832-1221 |
| Street Address |
612 ALLERTON AVE |
| City | BRONX |
| State | NY |
| Zip | 10467-7404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deinma Ibulubo | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Anthony Vela | Geriatric Medicine | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Jessica Mcdannis | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Janeen M Marshall | Geriatric Medicine | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Carlos M Tellechea | Geriatric Medicine | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Angela Yvonne Thomas | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Benita Kinard | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Dobgima Erick | Nurse Practitioner | Medical Director Services PC | 612 Allerton Ave, Bronx, NY 10467-7404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Everett Smethurst | Pathology | Progressive Gastroenterology LLC | 3584 Jerome Ave, Bronx, NY 10467-1006 |
| Renuka R Bankulla | Anesthesiology | 3584 Jerome Ave, Bronx, NY 10467-1006 | |
| Meir Salama | Gastroenterology | Progressive Gastroenterology LLC | 3584 Jerome Ave, Bronx, NY 10467-1006 |
| Gabriela Hundorfean | Psychiatry | Arms Acres Inc | 3584 Jerome Ave, Bronx, NY 10467-1006 |
| Gloria Syquia | Anesthesiology | 3584 Jerome Ave, Bronx, NY 10467-1006 | |
| Kirsten Coveney | Clinical Social Worker | Arms Acres Inc | 3584 Jerome Ave, Bronx, NY 10467-1006 |
| George William Ryer | Clinical Social Worker | Arms Acres Inc | 3584 Jerome Ave, Bronx, NY 10467-1006 |
| Teimuraz Gaprindashvili | Anesthesiology | 3584 Jerome Avenue Medical PC | 3584 Jerome Ave, Bronx, NY 10467-1006 |
| Mirtha A Colon | Clinical Social Worker | Jewish Board of Family and Childrens Services Inc | 3600 Jerome Ave, Bronx, NY 10467-1052 |
| Miguelina Almonte | Clinical Social Worker | Jewish Board of Family and Childrens Services Inc | 3600 Jerome Ave, Bronx, NY 10467-1052 |
| Find all physicians in zip 10467 | |||
| City | BRONX |
| Zip Code | 10467 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRONX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on John Mark Carlos Bonagua.
| 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.