Bruce Bonanno, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA04728000 Issued in NJ

Practice address

651 Wilow Grove Avenue
Hackettstown Regional Med. Ctr. -Emergency Dept
Hackettstown, NJ 07849

Phone

(908) 856-6800

NPI assigned

Jun 14, 2006

Last updated

Aug 2, 2013By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbonanno425002@direct.ahsys.org

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.

• Central Jersey Emergency Medicine Associates, PC

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1538106257
  Medicare reassignment NPD
• Virta Medical P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1093225138
  NPD
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)
• Meadowlands Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Secaucus, NJ
  • NPI 1134392236
  NPD (past)
• Keystone Medical Services of New York, PC

  • Emergency Medicine Physician
  • Springville, NY
  • NPI 1952331761
  NPD (past)
• Wapello Emergency Group PC

  • Emergency Medicine Physician
  • Ottumwa, IA
  • NPI 1124338926
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1275576290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 OCEAN AVE",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192328",
            "telephone_number": "732-556-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILOW GROVE AVENUE",
            "address_2": "HACKETTSTOWN REGIONAL MED. CTR. -EMERGENCY DEPT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "908-856-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA04728000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of New Jersey, Inc. (Fresenius Kidney Care Hackettstown)
• Biopsych Associates, LLC
• Sarah Ann Biron, APN
• Simone Blount
• Steven F. Bogart, D.D.S.
• Alyssa Borozan
• Elizabeth Rose Botham, M.D.
• Christine M. Bove
• Jamie Lynn Bovino, OTR
• Daphne Boyd-Bermingham, LSW

• Emergency Medicine Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.