Kelli-Anne Bonomi

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

104 Majestic Dr
Dix Hills, NY 11746-4935

Phone

(631) 499-5404

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Dix Hills Speech Pathology & Rehabilitation, PLLC

  • Early Intervention Provider Agency
  • Dix Hills, NY
  • NPI 1932459500
  NPD (past)
• Judith E Stein

  dba Dix Hills Center for Speech and Hearing Disorders

  • Speech-Language Pathologist
  • Dix Hills, NY
  • NPI 1487781472
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1205173549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MCKINNEY AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681808",
            "telephone_number": "631-827-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAJESTIC DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464935",
            "telephone_number": "631-499-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMI",
        "first_name": "KELLI-ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Blumenthal
• Rochelle Cullen Blumling
• Sara Renee Boccio, REGISTERED NURSE
• Angela Boggia
• Sandra Howard Bonat, MD
• Martin R. Boorin, DMD
• Sandra F Boriskin
• Jaimie Marisa Bornstein, MPH, RD, CDN
• Kia M Bourne, RDN
• Bettina J Bove, LCSW

• Case Manager/Care Coordinator in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.