Individual provider Active NPI

Laura J Bonaker, M.D.

  • Pediatrics Physician
  • Pleasantville, NJ
National Provider Identifier
1528078797
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA03906000 NJ Primary

Addresses

Primary practice location

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

Mailing address

22 N Franklin Blvd
2ND Floor
Pleasantville, NJ 08232-2547
Phone (609) 272-0655

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
I20111208000675 NJ Practitioner - Pediatric Medicine 0345415998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03906000NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Sep 30, 2016 Accepting new patients
First Step Pediatrics Pediatrics Current Accepting new patients
Advocare , LLC CurrentSince Sep 30, 2016 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

206 Laurel Heights Dr
Bridgeton, NJ 08302
Phone (856) 459-2270

465 Front St
Elmer, NJ 08318
Phone (856) 332-9578

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

Interoperability endpoints

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

Organizations & group practices 4

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.