Active NPI
Eric M Bonifield, M.D.
- Specialist
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1102 E Chestnut Ave
Vineland, NJ 08360-5002 - Phone
- (856) 690-1025
- Fax
- (856) 690-1352
- NPI assigned
- Jul 15, 2006
- Last updated
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 25MA05346800 | NJ | |
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1102 E Chestnut Ave
Vineland, NJ 08360-5002
Mailing address
PO Box 173
Millville, NJ 08332-0173
Phone (856) 690-1025
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 675170 | Other | NJ | AMERIHEALTH |
| CBP024 | Other | NJ | OXFORD |
| F01985 | Other | NJ | HEALTHNET |
| 01000271500 | Other | NJ | AMERICHOICE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
484 S Brewster Rd
South Vineland, NJ 08361-7874
Phone (856) 451-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05346800 | NJ | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Cumberland Obstetrics and Gynecology PA | Specialist | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Obstetrics | Past | Accepting new patients |
| Inspira Medical Centers, Inc. | Past | Accepting new patients | |
| Community Health Care, Inc. | Past | Accepting new patients |
Locations
14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830
30 N Pearl St
Bridgeton, NJ 08302
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
715 Delsea Dr N
Ste 345
Glassboro, NJ 08028
530 High St N
Millville, NJ 08332
Phone (856) 506-8556
484 S Brewster Rd
South Vineland, NJ 08361
Phone (856) 696-0300
1102 E Chestnut Ave
Vineland, NJ 08360
Phone (856) 213-6375
785 W Sherman Ave
Vineland, NJ 08360
3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258
Interoperability endpoints
- eric.bonifield.p1@direct.cchn.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Specialist
- Vineland, NJ
- NPI 1225054877
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1063715332
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Vineland, NJ
- NPI 1154592459
Obstetrics
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Glassboro, NJ
- NPI 1417309527
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1497771950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083320173",
"telephone_number": "856-690-1025",
"fax_number": "856-690-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E CHESTNUT AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605002",
"telephone_number": "856-690-1025",
"fax_number": "856-690-1352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONIFIELD",
"first_name": "ERIC",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NJ",
"license": "25MA05346800",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "675170",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CBP024",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F01985",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000271500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.