DR. MICHAEL ROBERT BONASERA SR. (NPI# 1083711444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083711444 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT BONASERA SR. |
| Credential | DDS |
| Practice Address |
2940 Lincoln Ave Oceanside NY 11572 |
| Mailing Address |
2940 Lincoln Ave Suite 101 Oceanside NY 11572 |
| Practice Telephone | 5167666780 |
| Practice Fax Number | 5166787794 |
| Mailing Telephone | 5167666780 |
| Mailing Fax Number | 5166787794 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS28000 | NY | Dental Providers |
| Street Address |
2940 LINCOLN AVE |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101890 | Darrell Ginsberg | Dentist | 2940 Lincoln Ave, Suite 101, Oceanside, NY 11572-2195 | 2006-07-24 |
| 1275964470 | Annette Fiorillo, Do P.C. | Allergy & Immunology | 2940 Lincoln Ave, #200, Oceanside, NY 11572-2195 | 2013-12-13 |
| 1093145401 | William H. Simon, M.d. | Internal Medicine | 2940 Lincoln Ave, Suite201, Oceanside, NY 11572-2195 | 2013-11-21 |
| 1447593579 | Harry Gregory Raff | Dentist | 2940 Lincoln Ave, Suite 101, Oceanside, NY 11572-2195 | 2013-03-27 |
| 1235295346 | Jennifer Rosoff | Chiropractor | 2940 Lincoln Ave, Oceanside, NY 11572-2195 | 2007-01-01 |
| 1225128309 | Geri Dalessio | Counselor | 2940 Lincoln Ave, Oceanside, NY 11572-2195 | 2006-10-13 |
| 1457457947 | Exceldent of Oceanside | Dentist | 2940 Lincoln Ave, Suite 101, Oceanside, NY 11572-2195 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023563939 | Hoang Dental Corp | Dentist | 4750 Oceanside Blvd Ste A15, Oceanside, CA 92056-3064 | 2016-08-20 |
| 1770980930 | Ortiz Dental Inc | Dentist | 1910 Mission Ave Ste D, Oceanside, CA 92058-7129 | 2014-12-03 |
| 1912228602 | Fratt Dental Corporation | Dentist | 4170 Oceanside Blvd, Ste 183, Oceanside, CA 92056-6007 | 2010-06-16 |
| 1386881621 | Norman David Jacobskind | Dentist | 400 Merrifield Ave, Oceanside, NY 11572-2944 | 2009-01-08 |
| 1548418270 | Christy Jean Schlange | Dentist | 605 Morse St, Oceanside, CA 92054-5934 | 2008-09-06 |
| 1578732145 | Sandra Rios Dds Inc | Dentist | 219 N. Horne St., Oceanside, CA 92054 | 2008-02-27 |
| 1174709000 | Tony S. Suk, Dds, Inc. | Dentist | 1771 Oceanside Blvd, Suite A, Oceanside, CA 92054-3478 | 2008-01-10 |
| 1629269055 | Morelia Dental | Dentist | 1910 Mission Ave, Suite D, Oceanside, CA 92058-7129 | 2007-08-09 |
| 1508056292 | Jeffrey Barton Routsong | Dentist | 5533 Old Ranch Rd Unit 53, Oceanside, CA 92057-5671 | 2007-07-28 |
| 1467653808 | David H Solomon | Dentist | 3159 Oceanside Rd, Oceanside, NY 11572-4227 | 2007-05-31 |
| Find all providers in OCEANSIDE | ||||
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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.