Individual provider Active NPI

Denise Bonnin, DPM

  • Podiatrist
  • Piscataway, NJ
National Provider Identifier
1801947973
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00290000 Issued in NJ
Practice address
12 Wills Way
Piscataway, NJ 08854
Phone
(732) 968-3833
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00290000 NJ Primary

Addresses

Primary practice location

12 Wills Way
Piscataway, NJ 08854

Mailing address

12 Wills Way
Piscataway, NJ 08854
Phone (732) 968-3833

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000337 NJ Practitioner - Podiatry 9234235318 Reassigns benefits to 1 organization
Practice locations: South Plainfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curalta Medical LLCGroup PAC ID 0749670453, 69 clinicians

Practice addresses (Care Compare)

12 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 968-3833

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
83.84
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue166
Removal or shaving of skin growth33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00290000NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Jun 1, 2022 Accepting new patients
Proactive Foot and Ankle CurrentSince Jul 2, 2022 Accepting new patients
Curalta Medical LLC Podiatrist CurrentSince Jun 1, 2022 Accepting new patients
Associated Foot Care of Warren County,PC Past Accepting new patients
Jay M Purvin, DPM Podiatrist Past Accepting new patients
Denise Bonnin DPM, PA Podiatrist Past Accepting new patients

Locations

812 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 725-2510

74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113

12 Wills Way
Piscataway, NJ 08854
Phone (732) 968-3833

504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600

322 Kinderkamack Rd
Westwood, NJ 07675
Phone (201) 666-5115

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1801947973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "732-968-3833",
            "fax_number": "732-968-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "732-968-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNIN",
        "first_name": "DENISE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00290000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.