Individual provider Active NPI

Victoria Marie Bonifield, APN

  • Women's Health Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1730952540
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ01348900 Issued in NJ
Practice address
1102 E Chestnut Ave
Vineland, NJ 08360-5002
Phone
(856) 696-4484
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01348900 NJ Primary

Addresses

Primary practice location

1102 E Chestnut Ave
Vineland, NJ 08360-5002

Mailing address

120 Running Deer TRL
Pittsgrove, NJ 08318-4186
Phone (609) 204-6481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241212000271 NJ Practitioner - Nurse Practitioner 5890221931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

484 S Brewster Rd
South Vineland, NJ 08361-7874
Phone (856) 451-4700

715 Delsea Dr N
Glassboro, NJ 08028-1435
Phone (856) 451-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Community Health Care, Inc. Past Accepting new patients
Community Health Care, Inc. Past Accepting new patients
Community Health Care, Inc. Past Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

715 Delsea Dr N
Ste 3
Glassboro, NJ 08028

530 High St N
Millville, NJ 08332
Phone (856) 506-8556

484 S Brewster Rd
South Vineland, NJ 08361
Phone (856) 696-0300

785 W Sherman Ave
Vineland, NJ 08360

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

75 W Red Bank Ave
Woodbury, NJ 08096
Phone (856) 853-2055

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: victoria.bonifield.p1@direct.cchn.nextgenshare.com

Organizations & group practices 5

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1730952540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RUNNING DEER TRL",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184186",
            "telephone_number": "609-204-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605002",
            "telephone_number": "856-696-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIFIELD",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01348900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.