Organization Active NPI

Jessica M. Bonifate DDS, P.C.

  • Dental Clinic/Center
  • Bronxville, NY
National Provider Identifier
1447748835
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JESSICA M. BONIFATE DDS, P.C.
Practice address
1 Pondfield Rd
Bronxville, NY 10708-3706
Phone
(914) 337-8430
Fax
(914) 337-8433
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dr. Jessica M Bonifate, DDSNPI 1033409115
Title
Dentist / Owner
Phone
(914) 337-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1 Pondfield Rd
Bronxville, NY 10708-3706

Mailing address

1 Pondfield Rd
Bronxville, NY 10708-3706
Phone (914) 337-8430

Other names 1

  • Bronxville Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1447748835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083706",
            "telephone_number": "914-337-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083706",
            "telephone_number": "914-337-8430",
            "fax_number": "914-337-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA M. BONIFATE DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "BONIFATE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "914-337-8430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronxville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.