Individual provider Active NPI

Jennifer Lynn Bonheur, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1720102577
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
228060 Issued in NY
Practice address
1317 3Rd Ave FL 7
New York, NY 10021-2957
Phone
(212) 570-1816
Fax
(212) 570-0819
NPI assigned
Mar 19, 2007
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 228060 NY Primary

Addresses

Primary practice location

1317 3Rd Ave FL 7
New York, NY 10021-2957

Mailing address

1317 3Rd Ave FL 7
New York, NY 10021-2957
Phone (212) 570-1816

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
I20070702000588 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5991804130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jennifer L Bonheur, MD, PLLCGroup PAC ID 9537449814, 2 clinicians

Practice addresses (Care Compare)

1317 3Rd Ave
FL 7
New York, NY 10021-2957
Phone (212) 570-2075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228060NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer L Bonheur, MD, PLLC CurrentSince Sep 12, 2016 Accepting new patients

Locations

1317 3rd Ave
Fl 7
New York, NY 10021
Phone (212) 570-1816

Interoperability endpoints

  • Direct secure messaging: jbonheur65503@northwell.direct-ci.com

Organizations & group practices 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1720102577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212957",
            "telephone_number": "212-570-1816",
            "fax_number": "212-570-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212957",
            "telephone_number": "212-570-1816",
            "fax_number": "212-570-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHEUR",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "228060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.