Nicole M Bonacci

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05718300 Issued in NJ

Practice address

108 Beech St
Cranford, NJ 07016-1718

Phone

(908) 379-3512

NPI assigned

Jul 29, 2011

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Jersey Health and Wellness LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ramsey, NJ
  • NPI 1285005884
  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1679851315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BEECH ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161718",
            "telephone_number": "908-379-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BEECH ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161718",
            "telephone_number": "908-379-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Beech St",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "07016",
            "country_code": "US",
            "telephone_number": "908-379-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONACCI",
        "first_name": "NICOLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05718300",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00230200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Betancourth, L.A.C
• Arthur Jay Bilenker, D.M.D.
• Blake Counseling Services
• Roxanne Carolyn Blake, LCSW
• Solomon Boadaa
• Zoe Demare-Wynne Bongiovanni, LCSW
• Alison Bono
• Amy Boos, OT
• Josh Bornstein
• Alexandra Bottini, PTA

• Clinical Social Worker in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.