Nicholas J Buonforte, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01617800 Issued in NJ

Practice address

381 Route 23
Pompton Plains, NJ 07444-1812

Phone

(973) 766-3985

NPI assigned

Aug 24, 2015

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1093182214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 TUDOR DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441150",
            "telephone_number": "973-766-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ROUTE 23",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441812",
            "telephone_number": "973-766-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5A Raritan Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "07436",
            "country_code": "US",
            "telephone_number": "973-766-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONFORTE",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01617800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1093182214",
            "identifier": "1093182214",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Lyn S. Brahms, M.D.
• Ana Melissa Bravo, PTA
• Chelsea Brower, M.D.
• Jaclyn A Brower, DPT
• Mary Elizabeth Bunone, OTR/L
• Christine Marie Buonpastore, APN-C
• Aidan Keith Burrows, LAC
• Ann Margaret Buscher, L.P.C., M.A.
• Eleanor Mary Buscher, MS LPC
• Sarah Elizabeth Bush, LCSW

• Physical Therapist in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.