Organization Active NPI

Bonnie J Wolniak

  • Pediatric Skilled Nursing Facility
  • Liverpool, NY
National Provider Identifier
1790980803
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
407331-1 Issued in NY
Legal business name
BONNIE J WOLNIAK
Practice address
7 Tree Line Dr
Liverpool, NY 13090-3032
Phone
(315) 622-4055
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Bonnie Wolniak
Title
Registered Nurse
Phone
(315) 622-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 407331-1 NY Primary

Addresses

Primary practice location

7 Tree Line Dr
Liverpool, NY 13090-3032

Mailing address

7 Tree Line Dr
Liverpool, NY 13090-3032

Other identifiers 1

IdentifierTypeStateIssuer
01449889MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1790980803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TREE LINE DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TREE LINE DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903032",
            "telephone_number": "315-622-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE J WOLNIAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WOLNIAK",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "315-622-4055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "407331-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449889",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.