Active NPI
Stephen J. Bonasera, MD
- Geriatric Medicine (Internal Medicine) Physician
- Longmeadow, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 290745
- Practice address
- 21 Dwight Rd Ste 204
Longmeadow, MA 01106-1765 - Phone
- (413) 795-0268
- Fax
- (413) 795-8502
- NPI assigned
- May 4, 2006
- Last updated
- Jan 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 290745 | MA | Primary |
Addresses
Primary practice location
21 Dwight Rd Ste 204
Longmeadow, MA 01106-1765
Mailing address
280 Chestnut Street
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
759 Chestnut Street
Springfield, MA 01107-1619
Phone (413) 794-3147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Emory University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21 Dwight Rd
Suite 204
Longmeadow, MA 01106-1765
Phone (413) 794-5600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Internal Medicine | Current | Accepting new patients |
Locations
21 Dwight Rd
Ste 204
Longmeadow, MA 01106
Phone (413) 795-0268
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
-
- General Acute Care Hospital
- Westfield, MA
- NPI 1700816048
-
dba Baystate Wing Hospital & Medical Centers
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1780632729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 DWIGHT RD STE 204",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061765",
"telephone_number": "413-795-0268",
"fax_number": "413-795-8502"
}
],
"practiceLocations": [
{
"address_1": "759 Chestnut Street",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011071619",
"country_code": "US",
"telephone_number": "413-794-3147",
"fax_number": "413-794-4054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONASERA",
"first_name": "STEPHEN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "290745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.