Estefania Amanda Bonavera, MD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC01007300 Issued in NJ

Practice address

153 Valley St Unit 315
South Orange, NJ 07079-2845

Phone

(908) 297-6265

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By 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

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1295630572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 VALLEY ST UNIT 215",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792843",
            "telephone_number": "908-297-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 VALLEY ST UNIT 315",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792845",
            "telephone_number": "908-297-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVERA",
        "first_name": "ESTEFANIA",
        "middle_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC01007300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.