Adam V Bonanno, M.S.ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1093188 Issued in NY

Practice address

1535 Richmond Ave
Staten Island, NY 10314-1520

Phone

(718) 556-1616

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Avb Care Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1629331442
  NPD (past) Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1962765883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CRANBERRY CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091987",
            "telephone_number": "718-702-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141520",
            "telephone_number": "718-556-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "ADAM",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1093188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Marie Bombino
• Salvatore Bonamassa, MFT LIMITED PERMIT
• Brittany Bonamo, PT, DPT
• Joel R Bonamo, MD
• Rose Ann Bonamo
• Patricia C. Bond-McGlynn, L.C.S.W.
• Catherine Bondar
• Michelle Bondar, M.S.
• Alex Bondarenko
• Victoria Bonder

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.