NPIMap

Organization Active NPI

Commonwealth Neonatology, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Richmond, VA
National Provider Identifier
1922181007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
COMMONWEALTH NEONATOLOGY, INC.
Practice address
412 Libbie Ave Ste 4
Richmond, VA 23226-2658
Phone
(804) 282-8082
Fax
(804) 282-9082
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bonita Jean Makdad, M.D.NPI 1144280652
Title
President
Phone
(804) 282-8082

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)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X Primary

Addresses

Primary practice location

412 Libbie Ave Ste 4
Richmond, VA 23226-2658

Mailing address

412 Libbie Ave Ste 4
Richmond, VA 23226-2658
Phone (804) 282-8082

National Provider Directory

National Provider Directory

Locations

412 Libbie Ave
Ste 4
Richmond, VA 23226
Phone (804) 282-8082

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922181007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 LIBBIE AVE STE 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262658",
            "telephone_number": "804-282-8082",
            "fax_number": "804-282-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 LIBBIE AVE STE 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262658",
            "telephone_number": "804-282-8082",
            "fax_number": "804-282-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH NEONATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKDAD",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-282-8082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.