Individual provider Active NPI

Katherine Ann Bohnert, D.O.

  • Obstetrics & Gynecology Physician
  • Little Silver, NJ
National Provider Identifier
1235440140
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB9495200 Issued in NJ
Practice address
34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248
Phone
(732) 747-9310
Fax
(732) 747-9320
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB9495200 NJ Primary

Addresses

Primary practice location

34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248

Mailing address

34 Sycamore Ave Ste 2a
Little Silver, NJ 07739-1248
Phone (732) 747-9310

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
I20150629000238 NJ Practitioner - Obstetrics/Gynecology 4385956721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Woman'S Place LLCGroup PAC ID 4688681059, 11 clinicians

Practice addresses (Care Compare)

34 Sycamore Ave
Suite 2a
Little Silver, NJ 07739-1248
Phone (732) 747-9310

820 E County Line Rd
Lakewood, NJ 08701-2078
Phone (732) 364-2711

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB9495200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Woman'S Place, LLC Obstetrics & Gynecology CurrentSince Apr 4, 2015 Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients

Locations

310 State Route 34
Ste 1
Colts Neck, NJ 07722
Phone (732) 901-0211

820 County Line Rd E
Lakewood, NJ 08701
Phone (732) 364-2711

820 County Line Rd E
Ste 1
Lakewood, NJ 08701
Phone (732) 364-2711

34 Sycamore Ave
Ste 2A
Little Silver, NJ 07739
Phone (732) 747-9310

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1235440140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE STE 2A",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391248",
            "telephone_number": "732-747-9310",
            "fax_number": "732-747-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE STE 2A",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391248",
            "telephone_number": "732-747-9310",
            "fax_number": "732-747-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNERT",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB9495200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.