Individual provider Active NPI

Eric M Bonifield, M.D.

  • Specialist
  • Vineland, NJ
National Provider Identifier
1497771950
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
675170OtherNJAMERIHEALTH
CBP024OtherNJOXFORD
F01985OtherNJHEALTHNET
01000271500OtherNJAMERICHOICE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000770 NJ Practitioner - Obstetrics/Gynecology 1658360748 Reassigns benefits to 1 organization

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
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

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

LicenseStateTypeSpecialty
25MA05346800NJMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Dec 29, 2024 Accepting new patients
Cumberland Obstetrics and Gynecology PA Specialist CurrentSince Nov 27, 1991 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 29, 2024 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

  • Direct secure messaging: eric.bonifield.p1@direct.cchn.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.