MICHAEL BONIELLO (NPI# 1023469293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023469293 |
| Entity Type | Individual |
| Full Name | MICHAEL BONIELLO |
| Credential | M.D., M.S. |
| Practice Address |
3 Cooper Plz Suite 408 Camden NJ 08103-1438 |
| Mailing Address |
130 Spruce St 2a Philadelphia PA 19106-4319 |
| Practice Telephone | 8008266737 |
| Mailing Telephone | 9142756462 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346345691 | Michael Joseph Boniello | Social Worker | 1900 W 75th St, Suite 120, Prairie Village, KS 66208-3502 | 2006-09-13 |
| Street Address |
3 COOPER PLZ SUITE 408 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427241 | Christopher T Olivia | Ophthalmology | 3 Cooper Plz, Rm 510, Camden, NJ 08103-1438 | 2005-06-16 |
| 1932718897 | Yaritza Santana-orozco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-27 |
| 1053929588 | Karl Leon Snyder | Counselor | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-21 |
| 1861000606 | Jordan Murphy | Community Health Worker | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-17 |
| 1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
| 1457978629 | Osama M Sayed | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-02 |
| 1952948234 | Christy Lambert | Physical Therapist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-12-05 |
| 1598301368 | Yamna Azhar | Pharmacist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-11-26 |
| 1588215792 | Adisa Kljuco | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-09-28 |
| 1083272470 | Jasmine Marahar | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728591 | Jordan Kee | Student in an Organized Health Care Education/Training Program | 45 Herrington Rd, Camden, TN 38320-6782 | 2020-04-05 |
| 1720615750 | Stephanie Mangwi Ndifor | Student in an Organized Health Care Education/Training Program | 575 Clinton St, Camden, NJ 08103-1329 | 2020-03-27 |
| 1780211771 | Huy David Dang Nguyen | Student in an Organized Health Care Education/Training Program | 1 Market St Apt 610, Camden, NJ 08102-2323 | 2020-03-27 |
| 1447887401 | Cassilyn May Wolff | Student in an Organized Health Care Education/Training Program | 1540 State Route 69, Camden, NY 13316-4318 | 2020-03-26 |
| 1043844541 | Adel Mahjoub | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 400, Camden, NJ 08103-1438 | 2020-02-24 |
| 1922669076 | Christopher Reed Edwards | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave Ste 250, Camden, NJ 08103-1505 | 2019-06-27 |
| 1588229272 | Wendy De La Rua | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave Bldg 3, Camden, NJ 08103-1505 | 2019-05-08 |
| 1841854981 | Dina Khamash | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave Rm 364, Camden, NJ 08103-1505 | 2019-04-24 |
| 1790348803 | Luke Thomas Stanisce | Student in an Organized Health Care Education/Training Program | 3 Cooper Plaza, Suite 411, Camden, NJ 08103-1438 | 2019-04-16 |
| 1083177414 | Daniel Olea-mendoza | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave # 369, Camden, NJ 08103-1505 | 2019-04-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.