Individual provider Active NPI

Lucrece Bonostro

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1205320769
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341898-1 Issued in NY
Practice address
4377 Bronx Blvd
Bronx, NY 10466-1397
Phone
(718) 325-0700
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341898-1 NY Primary

Addresses

Primary practice location

4377 Bronx Blvd
Bronx, NY 10466-1397

Mailing address

211-02 75TH Avenue
Apt # 6M
Oakland Gardens, NY 11364
Phone (917) 443-0411

Other practice location 1

1804 Liberty Avenue
Brooklyn, NY 11208
Phone (718) 277-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002000390 NY Practitioner - Nurse Practitioner 3678824646 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F341898-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc CurrentSince Oct 31, 2024 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Sep 10, 2018 Accepting new patients
Sun River Health Inc Current Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Sep 10, 2018 Accepting new patients
Chowdhury Medical Care PC CurrentSince Sep 2, 2018 Accepting new patients
K & H Medical PLLC CurrentSince Oct 1, 2020 Accepting new patients
Sun River Health Inc. CurrentSince Oct 31, 2024 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

120 Hicksville Rd
Bethpage, NY 11714
Phone (516) 717-1887

4377 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-0700

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

1084 Liberty Ave
Brooklyn, NY 11208
Phone (347) 586-0625

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

6457 Woodhaven Blvd
Rego Park, NY 11374

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lucrece.bonostro@hrh.eclinicaldirectplus.com

Organizations & group practices 7

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1205320769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211-02 75TH AVENUE",
            "address_2": "APT # 6M",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "917-443-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661397",
            "telephone_number": "718-325-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 Liberty Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11208",
            "country_code": "US",
            "telephone_number": "718-277-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONOSTRO",
        "first_name": "LUCRECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.