LORI BONAFEDE (NPI# 1134536105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134536105 |
| Entity Type | Individual |
| Full Name | LORI BONAFEDE |
| Practice Address |
743 Jefferson Ave Suite 203 Scranton PA 18510-1635 |
| Mailing Address |
610 Wyoming Ave Kingston PA 18704-3702 |
| Practice Telephone | 5703449997 |
| Practice Fax Number | 5703443158 |
| Mailing Telephone | 5702885441 |
| Mailing Fax Number | 5702885842 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP013243 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Madison Ave, Scranton, PA 185101631 | 5709615500 | 5709613844 |
| Street Address |
743 JEFFERSON AVE SUITE 203 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950914 | Barbara Plucknett | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2005-08-31 |
| 1972988327 | Karen Zikosky | Nurse Practitioner | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2015-07-28 |
| 1306070735 | Nishant Sethi | Internal Medicine | 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 | 2009-05-13 |
| 1750526141 | Pardeep Bansal | Internal Medicine | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2008-12-13 |
| 1972765063 | Barbara Plucknett Md | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2008-06-30 |
| 1073770533 | Scranton Hematology Oncology | Internal Medicine | 743 Jefferson Ave, Suite 205, Scranton, PA 18510-1635 | 2008-05-21 |
| 1639251820 | Gregory H Enders | Specialist | 743 Jefferson Ave, Suite 104, Scranton, PA 18510-1639 | 2006-10-19 |
| 1194815167 | Terrence P Lenahan | Internal Medicine | 743 Jefferson Ave, Scranton, PA 18510-1635 | 2006-10-13 |
| 1538175724 | Kenneth M Jacobs | Internal Medicine | 743 Jefferson Ave, Suite 303, Scranton, PA 18510-1635 | 2006-07-31 |
| 1225054059 | Mercy Med Care Inc. | Internal Medicine | 743 Jefferson Ave, Scranton, PA 18510-1635 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1841833738 | Amanda Rose Turoni | Nurse Practitioner | 501 N. Washington Ave, Suite 1000, Scranton, PA 18505-3814 | 2019-10-23 |
| 1952957219 | Chelsea Hafner | Nurse Practitioner | 1401 Fellows St, Scranton, PA 18504-2222 | 2019-08-13 |
| 1073073532 | Whitley Weatherford | Nurse Practitioner | 288 Anderson Bridge Rd, Scranton, SC 29591-5002 | 2019-03-21 |
| 1972094175 | Kyle Eugene Wewers | Nurse Practitioner | 4280 E State Highway 197, Scranton, AR 72863-9043 | 2018-05-23 |
| 1093229189 | Angela Murphy | Nurse Practitioner | 5 Morgan Hwy Ste 8, Scranton, PA 18508-2641 | 2017-11-28 |
| 1952736472 | Keith Thomas Lashinski | Nurse Practitioner | 746 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2013-09-04 |
| 1215235114 | Verna Mae Saleski | Nurse Practitioner | 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 | 2011-03-02 |
| 1134245046 | Andrea Mantione | Nurse Practitioner | 800 Linden St, Scranton, PA 18510-4694 | 2007-03-22 |
| 1750377602 | Jo Ann Louise Nicoteri | Nurse Practitioner | 1130 Mulberry St, University of Scranton Student Health Services, Scranton, PA 18510-2125 | 2005-09-26 |
| Find all providers in SCRANTON | ||||
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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.