Individual provider Active NPI

David R Bonney, D.O.

  • Dermatology Physician
  • West Orange, NJ
National Provider Identifier
1548476385
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB072896 Issued in NJ
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000318 NJ Practitioner - Dermatology 5294898128 Reassigns benefits to 1 organization

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
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of tissue1-10
Removal of skin lesions1402
Removal or shaving of skin growth160
Skin biopsy273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9599FLMDDermatology Physician
25MB072896NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Dermatology CurrentSince Feb 1, 2022 Accepting new patients
Eastpointe Medical LLC CurrentSince May 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.