Individual provider Active NPI

Bonney D. Cai-Luo, M.D.

  • Pediatrics Physician
  • Livingston, NJ
National Provider Identifier
1881641025
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA72322 Issued in NJ
Practice address
209 S Livingston Ave
Livingston, NJ 07039-4044
Phone
(973) 992-8189
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA72322 NJ
Adolescent Medicine (Internal Medicine) Physician 207RA0000X MA72322 NJ
Pediatrics Physician 208000000X MA72322 NJ Primary

Addresses

Primary practice location

209 S Livingston Ave
Livingston, NJ 07039-4044

Mailing address

209 S Livingston Ave
Livingston, NJ 07039-4044
Phone (973) 992-8189

Other identifiers 1

IdentifierTypeStateIssuer
8926603MedicaidNJ

Other names 1

  • Dr. Danhua Luo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA72322NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Totalhealth Medicals P.a. Internal Medicine Current Accepting new patients
Alliance Community Healthcare, Inc. Past Accepting new patients

Locations

209 S Livingston Ave
Livingston, NJ 07039
Phone (973) 992-4171

209 S Livingston Ave
Ste 6
Livingston, NJ 07039
Phone (973) 992-4171

Organizations & group practices 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1881641025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394044",
            "telephone_number": "973-992-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LIVINGSTON AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394044",
            "telephone_number": "973-992-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAI-LUO",
        "first_name": "BONNEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA72322",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "MA72322",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA72322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8926603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANHUA",
            "last_name": "LUO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.