Joseph A Buonadonna Sr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100 399 300 Issued in NJ

Practice address

8004 Lincoln Dr W Ste D
Marlton, NJ 08053-3213

Phone

(856) 596-7887

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 4, 2009 through Jun 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1477677441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PEWTER LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531319",
            "telephone_number": "856-596-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 LINCOLN DR W STE D",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533213",
            "telephone_number": "856-596-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONADONNA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100 399 300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Yvonne Bryant-Rodgers, CRNP
• BSH Health NJ, P.C.
• Stefani Buck-Bivens, MS, CCC-SLP
• Lidiya Bukenova
• Katie Bullock, CD, CBC
• Chandler Burkhart, MS, CCC-SLP
• Brittany Marie Burlakoff, PA
• Gerard Joseph Burns II, D.O.
• Kaitlin Burns, APN
• Erica Catherine Burrows, LMT

• Psychologist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.