Lisa M. Bonaventura, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA51694 Issued in NJ

Legal business name

LISA M. BONAVENTURA, M.D., P.A.

Practice address

2345 Lamington Rd
Suite 104
Bedminster, NJ 07921-2612

Phone

(908) 781-9661

Fax

(908) 781-2106

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Lisa M. Bonaventura, M.D.

Title

P.a. Physician/Owner

Phone

(908) 781-9661

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Mitchell, M.D.

  • General Practice Physician
  • Chester, NJ
  • NPI 1629473087
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1184721227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD",
            "address_2": "SUITE 104",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-781-9661",
            "fax_number": "908-781-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD",
            "address_2": "SUITE 104",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-781-9661",
            "fax_number": "908-781-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. BONAVENTURA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "BONAVENTURA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "P.A. PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "908-781-9661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA51694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Oleary LLC
• Andrew Reid Leggett, MD
• Karen Lewis, HHC
• Lionrock Behavioral Health, Inc (Lionrock Recovery)
• Jillian Lipari, PT,DPT
• Sarah Beth Devizio Lopez, LCSW
• Hisham Mabrouk
• Susan Diane Maguire, P.T.
• Tannaz Malekian
• Elizabeth Malinis, RNC, IBCLC

• Internal Medicine Physician in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.