Bonita D Gillard, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06487000 Issued in NJ

Practice address

76 Stirling Rd
Ste 201
Warren, NJ 07059-5751

Phone

(908) 755-5437

Fax

(908) 755-6905

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bgillard@watchung.pcc-direct.com

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.

• Watchung Pediatrics

  • Pediatrics Physician
  • Warren, NJ
  • NPI 1225021181
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760446918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STIRLING RD",
            "address_2": "STE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595751",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STIRLING RD",
            "address_2": "STE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595751",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "BONITA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06487000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2355128",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7963143",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NJ HMO",
            "identifier": "K5537",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5572016011",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2173649",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO PIN",
            "identifier": "2319999000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "25384",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanin Galindo
• Marissa Paige Gamba, BCBA
• Emma Victoria Garcell
• Thomas Daniel Gates
• Matthew Gewirtz, M.D.
• Nimisha Y Govind, OTR/L
• Gpsdmd LLC
• Steven L Greenbaum, DMD
• Jeannete G Greer, MD
• Julia Grieco, OTR/L

• Pediatrics Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.