Active NPI
Hess Bondi LLC
- Podiatrist
- Sewell, NJ
National Provider Identifier
1114097722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD002247
- Legal business name
- HESS BONDI LLC
- Practice address
- 438 Ganttown Rd
Ste B4
Sewell, NJ 08080 - Phone
- (856) 589-0990
- Fax
- (856) 589-3254
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack M Bondi, DPM
- Title
- Owner
- Phone
- (856) 589-0990
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD01175 | NJ | |
| Podiatrist | 213E00000X | MD002247 | NJ | Primary |
| Podiatrist | 213E00000X | MD002786 | NJ |
Addresses
Primary practice location
438 Ganttown Rd
Ste B4
Sewell, NJ 08080
Mailing address
438 Ganttown Rd
Ste B4
Sewell, NJ 08080
Phone (856) 589-0990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2982706 | Medicaid | NJ | |
| DC6865 | Other | NJ | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
617 Stokes Rd
Ste 9
Medford, NJ 08055
Phone (609) 654-3040
438 Ganttown Rd
Ste B4
Sewell, NJ 08080
Phone (856) 506-6565
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Medford, NJ
- NPI 1801357231
-
- Family Medicine Physician
- Medford, NJ
- NPI 1073547428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1114097722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 GANTTOWN RD",
"address_2": "STE B4",
"city": "SEWELL",
"state": "NJ",
"postal_code": "08080",
"telephone_number": "856-589-0990",
"fax_number": "856-589-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 GANTTOWN RD",
"address_2": "STE B4",
"city": "SEWELL",
"state": "NJ",
"postal_code": "08080",
"telephone_number": "856-589-0990",
"fax_number": "856-589-3254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HESS BONDI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "BONDI",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-589-0990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD01175",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD002247",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD002786",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2982706",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DC6865",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.