Active NPI
Savithri B Bonala, M D
- Allergy & Immunology Physician
- Highland Park, NJ
National Provider Identifier
1083699409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA073362000
- Practice address
- 18 N 3Rd Ave
Highland Park, NJ 08904-2408 - Phone
- (732) 545-0094
- Fax
- (732) 545-4087
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | ME79314 | FL | |
| Allergy & Immunology Physician | 207K00000X | 25MA073362000 | NJ | Primary |
Addresses
Primary practice location
18 N 3Rd Ave
Highland Park, NJ 08904-2408
Mailing address
18 N 3Rd Ave
Highland Park, NJ 08904-2408
Phone (732) 545-0094
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3239782 | Other | NJ | OXFORD |
| 38150 | Other | NJ | UNIVERSITY HEALTH PLAN |
| 60006198 | Other | NJ | HORIZON NJ HEALTH |
| 1603R1 | Other | NJ | EMPIRE BCBS |
| 236325 | Other | NJ | AMERIGROUP |
| 2099742 | Other | NJ | GHI |
| 2K7611 | Other | NJ | HEALTHNET |
| 7366552 | Other | NJ | AETNA |
| 0071684 | Medicaid | NJ | |
| 0150142000 | Other | NJ | AMERIHEALTH |
| 8828709 | Medicaid | NJ | |
| 2421092 | Other | NJ | UNITED HEALTHCARE |
| 1605318 | Other | NJ | CIGNA |
| 91001540100 | Other | NJ | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA073362000 | NJ | MD | Allergy & Immunology Physician |
| ME79314 | FL | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1083699409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N 3RD AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042408",
"telephone_number": "732-545-0094",
"fax_number": "732-545-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N 3RD AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042408",
"telephone_number": "732-545-0094",
"fax_number": "732-545-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONALA",
"first_name": "SAVITHRI",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "FL",
"license": "ME79314",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA073362000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3239782",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLAN",
"identifier": "38150",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60006198",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "1603R1",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "236325",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2099742",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K7611",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7366552",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071684",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0150142000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8828709",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2421092",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1605318",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "91001540100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.