Individual provider Active NPI

Reginald Bonnah, DNP, APN

  • Family Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1326532938
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00832500 Issued in NJ
Practice address
100 Madison Ave
Morristown, NJ 07960
Phone
(973) 971-4287
Fax
(973) 290-8325
NPI assigned
Jun 18, 2018
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343599 NY
Family Nurse Practitioner 363LF0000X 26NJ00832500 NJ Primary

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

30 Prospect Ave Rm 4621
Hackensack, NJ 07601-1915
Phone (551) 996-3664

Other practice location 2

160 N Midland Ave
Nyack, NY 10960-1998
Phone (845) 348-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181015001317 NJ Practitioner - Nurse Practitioner 4688926926 Reassigns benefits to 2 organizations
I20181016001582 NY Practitioner - Nurse Practitioner 4688926926 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
343599NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Jul 22, 2019 Accepting new patients
Cogent Healthcare of New Jersey, PC CurrentSince Aug 27, 2018 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Aug 27, 2018 Accepting new patients
Cogent Medical Care PC CurrentSince Sep 1, 2018 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 Prospect Ave
Rm 4621
Hackensack, NJ 07601
Phone (551) 996-2605

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1326532938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-4287",
            "fax_number": "973-290-8325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave Rm 4621",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "551-996-3664",
            "fax_number": "551-996-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 N Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601998",
            "country_code": "US",
            "telephone_number": "845-348-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNAH",
        "first_name": "REGINALD",
        "name_prefix": "Dr.",
        "credential": "DNP, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00832500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.