Laura J Bonaker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA03906000 Issued in NJ

Practice address

22 N Franklin Blvd
1St Floor
Pleasantville, NJ 08232-2547

Phone

(609) 272-9040

Fax

(609) 272-9055

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  NJ, Pediatrics

  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• First Step Pediatrics

  • Pediatrics Physician
  • Bridgeton, NJ
  • NPI 1770658023

  Pediatrics

  NPD
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbonaker@fsp.azalea.phimailbox.com
• Direct secure messaging: laura.bonaker@firststeppediatrics.chartmakerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2011.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1528078797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N FRANKLIN BLVD",
            "address_2": "2ND FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322547",
            "telephone_number": "609-272-0655",
            "fax_number": "609-272-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N FRANKLIN BLVD",
            "address_2": "1ST FLOOR",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322547",
            "telephone_number": "609-272-9040",
            "fax_number": "609-272-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAKER",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03906000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis A Barbella, APN
• Bayada Home Health Care, Inc.
• Steven R Bender, PC
• Bhavesh C Bhatt, PHARMACIST
• Janis Birch, RBT
• Debra Jean Boney, DIPL.AC., CA
• Brandon Tunstall LLC
• Broadway Family Practice PC
• Broadway Family Practice, PC
• Koren Brown

• All providers in Pleasantville, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.

Verify at the official NPI Registry.