Nicole Bonner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00586700 Issued in NJ

Practice address

691 Mill Creek Rd
Suite 5
Manahawkin, NJ 08050-3531

Phone

(609) 978-4304

Fax

(609) 978-5585

NPI assigned

Dec 28, 2006

Last updated

Feb 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole Conzola Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hands of ManahawkinGroup PAC ID 2860680535, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Hands of Manahawkin

  • Chiropractor
  • Manahawkin, NJ
  • NPI 1114233269
  Medicare reassignment Care Compare group NPD Authorized official
• Healing Hands of Manahawkin

  • Chiropractor
  • Manahawkin, NJ
  • NPI 1619102431
  NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1942366711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MILL CREEK RD",
            "address_2": "SUITE 5",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503531",
            "telephone_number": "609-978-4304",
            "fax_number": "609-978-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MILL CREEK RD",
            "address_2": "SUITE 5",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503531",
            "telephone_number": "609-978-4304",
            "fax_number": "609-978-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00586700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CONZOLA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Joseph Bockin III, PT, DPT
• Julie Bohack, APN
• Maria Bohn, RD, RN, NP-C
• James Bojko, DPT
• Stephen M Bon, RPH
• Kaitlyn Borg
• Neal Edwin Bottomley, RD
• Ashley Boyle, LPC
• Jessica Kim Bramlette, DMD
• Lisa Braunwell, A.P.N., R.N.

• Chiropractor in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.