Gabriella Bonomo, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME86702 Issued in FL

Legal business name

GABRIELLA BONOMO, MD, PA

Practice address

500 University Blvd
Suite 201
Jupiter, FL 33458-2773

Phone

(561) 799-3770

Fax

(561) 799-3776

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Gabriella Bonomo, M.D.NPI 1770542888

Title

Owner

Phone

(561) 799-3770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gabriella Bonomo MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Saji Francis MD PC

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1407037393
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriella Bonomo, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1770542888
  Medicare reassignment NPD Authorized official
• Linda S Chatelier, A.R.N.P.-B.C.

  • Nurse Practitioner
  • Clermont, FL
  • NPI 1225216740
  Medicare reassignment NPD
• Katherine Jane Hnis, R.N., F.N.P

  • Family Nurse Practitioner
  • Jupiter, FL
  • NPI 1174823520
  Medicare reassignment NPD
• Michele Shockley, ARNP

  • Women's Health Nurse Practitioner
  • Jupiter, FL
  • NPI 1023069952
  Medicare reassignment NPD
• Saji Francis, MD

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1568474146
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1932383056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-799-3770",
            "fax_number": "561-799-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-799-3770",
            "fax_number": "561-799-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLA BONOMO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-799-3770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G&G Therapy Solutions LLC
• George Gabelman III, PTA
• Helen Gable, BSCHK DC CAD DACACD
• Jordan Gableman, PA-C
• Alexandra Rose Gaboury, PTA
• Laura Jean Gadberry, O.T., C.H.T
• Gaetano J Scuderi MD & Associates
• Holmes Javier Galiano
• John Hunt Gallagher, MD
• Michelle Gallagher

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.

Verify at the official NPI Registry.