Jessica Bonheur, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bethpage, NY

NPI 1992648265 · NPPES record last updated Apr 13, 2026

Key facts

NPI
1992648265
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone
(516) 579-6000
NPI assigned
Apr 13, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

4295 Hempstead Tpke
Bethpage, NY 11714-5713

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Other providers in Bethpage, NY

All providers in Bethpage, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.