Active NPI
Guy Andrew Buonincontro, D.O.
- Family Medicine Physician
- New Lisbon, NJ
National Provider Identifier
1497829469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB24073
- Practice address
- 104 Route 72 East
New Lisbon, NJ 08064-0130 - Phone
- (609) 726-1000
- Fax
- (609) 726-1387
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB24073 | NJ | Primary |
| Family Medicine Physician | 207Q00000X | 25MB02407300 | NJ |
Addresses
Primary practice location
104 Route 72 East
New Lisbon, NJ 08064-0130
Mailing address
11 Pendleton Dr
Cherry Hill, NJ 08003-1919
Phone (856) 424-1489
Other names 1
- Guy A Buonincontro
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB02407300 | NJ | MD | Family Medicine Physician |
| MB24073 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| Berlin Family Practice Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- New Lisbon, NJ
- NPI 1255375929
-
- Primary Care Clinic/Center
- Berlin, NJ
- NPI 1124002779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1497829469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PENDLETON DR",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031919",
"telephone_number": "856-424-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ROUTE 72 EAST",
"city": "NEW LISBON",
"state": "NJ",
"postal_code": "080640130",
"telephone_number": "609-726-1000",
"fax_number": "609-726-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUONINCONTRO",
"first_name": "GUY",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB24073",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB02407300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GUY",
"last_name": "BUONINCONTRO",
"middle_name": "A",
"credential": "D.O,",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Lisbon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.