Individual provider Active NPI

Jean-Paul Bonnet, D.O.

  • Family Medicine Physician
  • Lake Hopatcong, NJ
National Provider Identifier
1154397214
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB42670 Issued in NJ
Practice address
174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Phone
(973) 663-1300
Fax
(973) 663-2848
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB42670 NJ Primary

Addresses

Primary practice location

174 Edison Rd
Lake Hopatcong, NJ 07849-2217

Mailing address

174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Phone (973) 663-1300

Other identifiers 1

IdentifierTypeStateIssuer
2006804MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000054 NJ Practitioner - Family Practice 4486694890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Phone (973) 663-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB42670NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Nov 19, 2021 Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

33 Newton Sparta Rd
Ste 6
Newton, NJ 07860

33 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-2971

Interoperability endpoints

  • Direct secure messaging: jean.bonnet.1@17698.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
United Methodist Communities at Bristol GlenNewton, NJ, CCN 315439 Skilled nursing facility Adp of the SNF Feb 21, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1154397214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 EDISON RD",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492217",
            "telephone_number": "973-663-1300",
            "fax_number": "973-663-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 EDISON RD",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078492217",
            "telephone_number": "973-663-1300",
            "fax_number": "973-663-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNET",
        "first_name": "JEAN-PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB42670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

Verify at the official NPI Registry.