Bonnie Lee Probert, APN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

26NN07345900 Issued in NJ

Practice address

151 Washington St
Newark, NJ 07102-3026

Phone

(973) 622-3900

Fax

(973) 622-1698

NPI assigned

Mar 1, 2006

Last updated

Jul 19, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Planned Parenthood of Metroplitan NJ, Inc.

  • Ambulatory Family Planning Facility
  • Newark, NJ
  • NPI 1093952335
  NPD (past)
• Planned Parenthood of Metropolitan New Jersey

  • Ambulatory Family Planning Facility
  • Pompton Lakes, NJ
  • NPI 1639142938
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1871560748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 RIDGE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041527",
            "telephone_number": "973-485-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WASHINGTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023026",
            "telephone_number": "973-622-3900",
            "fax_number": "973-622-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBERT",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NN07345900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neken Pringle
• Priority Group Services
• Priority Group Services
• Griffin Jon Privitera, DMD
• Pro Sahara LLC
• Gina M Proctor, CRNP WHNP-BC
• Rathvitou Proeun, DPM
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Progressive Home Care, Inc.

• Obstetrics & Gynecology Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Obstetrics & Gynecology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.