Bonita M Mancia, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD022345E Issued in PA

Practice address

440 Pierce St
Kingston, PA 18704-5500

Phone

(570) 288-6521

Fax

(570) 288-8284

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bonita M Mancia M.D.

  • Obstetrics & Gynecology Physician
  • Kingston, PA
  • NPI 1720256043
  NPD (past) Authorized official
• United Health and Hospital Services, Inc.

  • Family Medicine Physician
  • Kingston, PA
  • NPI 1316978885
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1538136221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045500",
            "telephone_number": "570-288-6521",
            "fax_number": "570-288-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045500",
            "telephone_number": "570-288-6521",
            "fax_number": "570-288-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCIA",
        "first_name": "BONITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD022345E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000084470",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001398160-0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "824196",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000266747",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013981600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lea Macneely, PA-C
• Sara M Maculloch
• David Mallarkey Jr., RN
• Malsom Chiropractic PLLC
• Emily Amanda Malsom, DC
• Paul R. Mancia, DDS
• Manor Care of Kingston PA LLC
• Tracy Lee Manzoni, OTR/L
• Michael Marchetti, RN
• Marguerite Mosack, PHD.

• Obstetrics & Gynecology Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.