Individual provider Active NPI

Bonnie Ann Marie Fenyar, M.D.

  • Psychiatry Physician
  • Toms River, NJ
National Provider Identifier
1669504478
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06489800 Issued in NJ
Practice address
47 Cove Rd
Toms River, NJ 08753-4719
Phone
(732) 929-3145
Fax
(732) 929-1516
NPI assigned
Mar 9, 2007
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06489800 NJ
Internal Medicine Physician 207R00000X 4301073535 MI
Internal Medicine Physician 207R00000X 11149 MT
Internal Medicine Physician 207R00000X 89148 OH
Forensic Psychiatry Physician 2084F0202X 25MA06489800 NJ
Forensic Psychiatry Physician 2084F0202X 4301073535 MI
Forensic Psychiatry Physician 2084F0202X 11149 MT
Forensic Psychiatry Physician 2084F0202X 89148 OH
Psychiatry Physician 2084P0800X 25MA06489800 NJ Primary
Psychiatry Physician 2084P0800X 4301073535 MI
Psychiatry Physician 2084P0800X 11149 MT
Psychiatry Physician 2084P0800X 89148 OH

Addresses

Primary practice location

47 Cove Rd
Toms River, NJ 08753-4719

Mailing address

47 Cove Rd
Toms River, NJ 08753-4719
Phone (732) 929-3145

Other identifiers 1

IdentifierTypeStateIssuer
7176902MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073535MIMDInternal Medicine Physician
11149MTMDInternal Medicine Physician
25MA06489800NJMDInternal Medicine Physician
89148OHMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Hospital Inc Past Accepting new patients
Central Jersey Behavioral Health Associates Inc Psychiatry Past Accepting new patients
East Mountain Hospital, Inc. Psychiatry Past Accepting new patients

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1669504478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COVE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534719",
            "telephone_number": "732-929-3145",
            "fax_number": "732-929-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 COVE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534719",
            "telephone_number": "732-929-3145",
            "fax_number": "732-929-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENYAR",
        "first_name": "BONNIE ANN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06489800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073535",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "11149",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "89148",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "25MA06489800",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MI",
            "license": "4301073535",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MT",
            "license": "11149",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OH",
            "license": "89148",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06489800",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301073535",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "11149",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "89148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7176902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.