Individual provider Active NPI

Jonathan Daniel Boniuk, MD

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1669580759
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
199677 Issued in NY
Practice address
3220 Arlington Ave 7
Bronx, NY 10463-3354
Phone
(718) 432-2299
Fax
(718) 432-2069
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 199677 NY Primary

Addresses

Primary practice location

3220 Arlington Ave 7
Bronx, NY 10463-3354

Mailing address

2717 Arlington Ave
Bronx, NY 10463-4806
Phone (718) 432-2299

Other identifiers 1

IdentifierTypeStateIssuer
01592070MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100514000611 NY Practitioner - Ophthalmology 6507994357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2717 Arlington Ave
Bronx, NY 10463-4806
Phone (718) 432-2299

3220 Arlington Ave
Bronx, NY 10463-3354
Phone (718) 432-2299

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Ophthalmology CurrentSince Jun 8, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Jun 8, 2015 Accepting new patients
Jonathan D Boniuk MD PC Ophthalmology CurrentSince Mar 4, 1999 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jboniuk@mipa.bronxrhiodirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1669580759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 ARLINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634806",
            "telephone_number": "718-432-2299",
            "fax_number": "718-432-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 ARLINGTON AVE 7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633354",
            "telephone_number": "718-432-2299",
            "fax_number": "718-432-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIUK",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "199677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.