Active NPI
Jennifer L Bonheur, MD, PLLC
- Specialist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- JENNIFER L BONHEUR, MD, PLLC
- Practice address
- 1317 3Rd Ave
FL 7
New York, NY 10021-2995 - Phone
- (212) 570-2075
- NPI assigned
- Jun 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Bonheur
- Title
- Provider
- Phone
- (212) 570-2075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1317 3Rd Ave
FL 7
New York, NY 10021-2995
Mailing address
1317 3Rd Ave
FL 7
New York, NY 10021-2995
Phone (212) 570-2075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2117015 | Jennifer L Bonheur, MD, PLLC | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
1317 3rd Ave
New York, NY 10021
Phone (212) 570-2075
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- New York, NY
- NPI 1720102577
-
- Student in an Organized Health Care Education/Training Program
- New York, NY
- NPI 1174083851
-
- Gastroenterology Physician
- New York, NY
- NPI 1497922686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470787200000",
"number": "1891144325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 3RD AVE",
"address_2": "FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212995",
"telephone_number": "212-570-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 3RD AVE",
"address_2": "FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212995",
"telephone_number": "212-570-2075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER L BONHEUR, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-06",
"last_updated": "2016-08-10",
"status": "A",
"authorized_official_last_name": "BONHEUR",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "212-570-2075"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.