Heather Anne Buonomo, MSSPED

Primary specialty

SpecialistTaxonomy code 174400000X

License

815792 Issued in NY

Practice address

191 Buel Ave
Staten Island, NY 10305-1203

Phone

(516) 510-3940

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1114274222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BUEL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051203",
            "telephone_number": "516-510-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BUEL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051203",
            "telephone_number": "516-510-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOMO",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSSPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "815792",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1859872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Buonaspina, MD
• Andrea Buonato, D.C.
• Joseph L Buono, MD
• Samantha Marie Buono
• Gregory Buonocore, LMSW
• Carla Buonviaggio
• Rachel E Burack, M.S.CCC-SLP
• Eric Burd
• Susan Burek, RN, BSN
• Alba Burel

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.