Individual provider Active NPI

Christopher Bona

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
National Provider Identifier
1699189696
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
645070 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263-7235
Phone
(716) 845-2300
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306905 NY
Certified Registered Nurse Anesthetist 367500000X 645070 NY Primary
Nurse Practitioner 363L00000X 306905 NY

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263-7235

Mailing address

4192 Coventry Green Cir
Williamsville, NY 14221-7235
Phone (716) 417-0389

Other practice location 1

601 Elmwood Ave
Rochester, NY 14642-7235
Phone (716) 417-0389

Other identifiers 1

IdentifierTypeStateIssuer
645070OtherNYNYS RN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190719002614 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395008650 Reassigns benefits to 2 organizations
I20210112002695 NY Practitioner - Nurse Practitioner 5395008650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

  • Roswell Park Cancer Institute Hospital, Buffalo, NY, CCN 330354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Ambulatory Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2020 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jun 1, 2019 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jun 1, 2019 Accepting new patients
Buffalo Advanced Medical, P.C. Past Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

5959 Big Tree Rd
#20A
Orchard Park, NY 14127

303 Sterling Dr
Orchard Park, NY 14127
Phone (716) 712-0600

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1699189696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 COVENTRY GREEN CIR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217235",
            "telephone_number": "716-417-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142637235",
            "telephone_number": "716-845-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146427235",
            "country_code": "US",
            "telephone_number": "716-417-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONA",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306905",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "645070",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "306905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS RN LICENSE",
            "identifier": "645070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.