Active NPI
David R Bonney, D.O.
- Dermatology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MB072896
- Practice address
- 347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744 - Phone
- (973) 571-2121
- Fax
- (973) 239-1591
- NPI assigned
- May 16, 2007
- Last updated
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS9599 | FL | |
| Dermatology Physician | 207N00000X | 25MB072896 | NJ | Primary |
Addresses
Primary practice location
347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744
Mailing address
347 Mt Pleasant Ave
Suite 205
West Orange, NJ 07052-2744
Phone (973) 571-2121
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 W Century Rd
Suite 320
Paramus, NJ 07652-1435
Phone (973) 571-2121
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 72 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1402 |
| Removal or shaving of skin growth | 160 |
| Skin biopsy | 273 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9599 | FL | MD | Dermatology Physician |
| 25MB072896 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schweiger Dermatology, PC | Dermatology | Current | Accepting new patients |
| Eastpointe Medical LLC | Current | Accepting new patients | |
| Medical Health Center, P.a. | Past | Accepting new patients |
Locations
30 W Century Rd
Ste 320
Paramus, NJ 07652
60 Pompton Ave
Verona, NJ 07044
Phone 9735712121113
347 Mount Pleasant Ave
Ste 103
West Orange, NJ 07052
Interoperability endpoints
- david.bonney@schweigerderm.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
-
- Internal Medicine Physician
- Atlantic Highlands, NJ
- NPI 1164168837
-
- Cardiovascular Disease Physician
- Middletown, NJ
- NPI 1720083116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1548476385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 MT PLEASANT AVE",
"address_2": "SUITE 205",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522744",
"telephone_number": "973-571-2121",
"fax_number": "973-239-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 MOUNT PLEASANT AVE",
"address_2": "SUITE 103",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522744",
"telephone_number": "973-571-2121",
"fax_number": "973-239-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNEY",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS9599",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MB072896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.
- 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.