NPIMap

Organization Active NPI

Dr Joseph Bonanno Physician PC

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1891968236
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
187793 Issued in NY
Legal business name
DR JOSEPH BONANNO PHYSICIAN PC
Practice address
3101 E Tremont Ave
Bronx, NY 10461-5705
Phone
(718) 863-7925
Fax
(718) 863-8208
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Joseph Bonanno, D.O.
Title
Owner
Phone
(718) 863-7925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 187793 NY Primary

Addresses

Primary practice location

3101 E Tremont Ave
Bronx, NY 10461-5705

Mailing address

2217 Seymour Ave
Bronx, NY 10469-5826
Phone (718) 863-7925

Other identifiers 1

IdentifierTypeStateIssuer
187793OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1891968236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SEYMOUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695826",
            "telephone_number": "718-863-7925",
            "fax_number": "718-863-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615705",
            "telephone_number": "718-863-7925",
            "fax_number": "718-863-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSEPH BONANNO PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "BONANNO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-863-7925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "187793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "187793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.