Individual provider Active NPI

Elizabeth Mary Bonarigo, DPM

  • Podiatrist
  • Hackensack,, NJ
National Provider Identifier
1104270917
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00364200 Issued in NJ
Practice address
211 Essex St Ste 405
Hackensack,, NJ 07601-3247
Phone
(201) 919-1343
Fax
(201) 603-1812
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 25MD00364200 NJ Primary

Addresses

Primary practice location

211 Essex St Ste 405
Hackensack,, NJ 07601-3247

Mailing address

449 Old Stone Rd
Ridgewood, NJ 07450-1416
Phone (585) 409-6720

Other practice location 1

First Avenue at 16th Street
New York, NY 10003
Phone (212) 420-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200728001774 NY Practitioner - Podiatry 6709122666 Reassigns benefits to 4 organizations
I20240430001626 NJ Practitioner - Podiatry 6709122666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mina Abadeer DPM PCGroup PAC ID 9436446572, 3 clinicians
Foot Forward Podiatry PCGroup PAC ID 3971995697, 29 clinicians

Practice addresses (Care Compare)

211 Essex St
Suite 405
Hackensack, NJ 07601-3247
Phone (201) 919-1343

75 Old Toms River Rd
Brick, NJ 08723-7800
Phone (646) 921-0907

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of nail tissue237
Removal or shaving of skin growth70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00364200NJMDPodiatrist

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 21, 2025 Accepting new patients
Foot Forward Podiatry PC Podiatrist CurrentSince Apr 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 16, 2021 Accepting new patients
Mina Abadeer DPM PC Podiatrist CurrentSince Mar 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 16, 2021 Accepting new patients
Foot Forward Podiatry, LLC Past Accepting new patients

Locations

75 Old Toms River Rd
Brick, NJ 08723
Phone 732244140014

98 James St
Ste 301
Edison, NJ 08820
Phone (732) 494-0100

1656 Oak Tree Rd
Ste 3B
Edison, NJ 08820

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

50 Polifly Rd
Hackensack, NJ 07601
Phone (201) 646-1166

211 Essex St
Ste 405
Hackensack, NJ 07601
Phone (201) 919-1343

73 Park St
Ste 1
Montclair, NJ 07042

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

234 E 149th St
Rm 8D200
Bronx, NY 10451

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

227 Madison St
New York, NY 10002
Phone (212) 238-7000

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

50 Water St
Fl 3
New York, NY 10004

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ebonarigo861271@nychhc.direct-ci.com

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1104270917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 OLD STONE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501416",
            "telephone_number": "585-409-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 405",
            "city": "HACKENSACK,",
            "state": "NJ",
            "postal_code": "076013247",
            "telephone_number": "201-919-1343",
            "fax_number": "201-603-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "First Avenue at 16th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10003",
            "country_code": "US",
            "telephone_number": "212-420-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONARIGO",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00364200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack,, NJ

Sources for this page

Verify at the official NPI Registry.