Roseanne Bonventre, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

337032-01 Issued in NY

Practice address

17 Bank Ave
Smithtown, NY 11787-2703

Phone

(631) 265-5300

NPI assigned

Feb 15, 2021

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Nursing Registry, Inc.

  • Home Health Agency
  • Smithtown, NY
  • NPI 1912038274
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1083207625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119510364",
            "telephone_number": "631-295-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BANK AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872703",
            "telephone_number": "631-265-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONVENTRE",
        "first_name": "ROSEANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337032-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bongiorno
• Jessica Lorena Bonilla
• Amanda Bono
• Catherine Bonta-Roskos, LCSW
• James Joseph Bonura
• Michael Bordes, LMHC
• Angela Borgia, CASAC-T
• Tara Borner, M.A.
• Donna M. Bornfriend, LCSW
• Mia Taylor Bornfriend, LMSW

• Licensed Practical Nurse in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.