Metropolitan New York Medicine & Infectious Diseases, P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

202436 Issued in NY

Legal business name

METROPOLITAN NEW YORK MEDICINE & INFECTIOUS DISEASES, P.C.

Practice address

337 Kimball Ave
Yonkers, NY 10704-3032

Phone

(914) 338-7534

Fax

(914) 338-7537

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jose Tadeo Bonoan, M.D.NPI 1255312518

Title

President

Phone

(914) 338-7534

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jose Tadeo Bonoan, M.D.

  • Infectious Disease Physician
  • Yonkers, NY
  • NPI 1255312518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1508906777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105220351",
            "telephone_number": "914-338-7534",
            "fax_number": "914-338-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 KIMBALL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043032",
            "telephone_number": "914-338-7534",
            "fax_number": "914-338-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN NEW YORK MEDICINE & INFECTIOUS DISEASES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "BONOAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "TADEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-338-7534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "202436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "N81758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2512720",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2813319",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "202436",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "2X0703",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00033933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2579806",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02957495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lekha Mettu, M.D
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• Mary Jane Metzger, R.N. C.D.E.
• Magaly Mevs-Hammond, M.S-CCC-SLP
• Elizabeth Ann Meyer, OTR/L

• Infectious Disease Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.