DR. GIOVANNI BONOMO (NPI# 1386934917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386934917 |
| Entity Type | Individual |
| Full Name | DR. GIOVANNI BONOMO |
| Credential | M.D. |
| Practice Address |
256 Mason Ave Bldg C3 Staten Island NY 10305-3408 |
| Practice Telephone | 7182266398 |
| Mailing Telephone | 7182266398 |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 297392-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103336973 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 S Cedar Crest Blvd Ste 3900, Allentown, PA 181036250 | 6104021095 | 6104355003 |
| 405 Lenevar Ave, Staten Island, NY 103092932 | 7189674604 |
| Street Address |
256 MASON AVE BLDG C3 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659348423 | Vinod Bopaiah | Colon & Rectal Surgery | 400 Seaview Avenue, Staten Island, NY 10305 | 2006-03-01 |
| 1154353100 | Antonio Picon | Colon & Rectal Surgery | 256 Mason Ave, Staten Island, NY 10305-3408 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
| 1083157309 | Gadangi Incorporated | Colon & Rectal Surgery | 2583 Ocean Ave Ste 1r, Brooklyn, NY 11229-4575 | 2016-11-18 |
| 1831468966 | Slrhc Faculity Practice | Colon & Rectal Surgery | 425 W 59th St Ste 7b, New York, NY 10019-8022 | 2011-12-19 |
| 1396027207 | Joseph David Mills Jr. | Colon & Rectal Surgery | 1150 Youngs Rd Ste 203, Williamsville, NY 14221-8024 | 2011-09-16 |
| 1508189226 | Garden City Colon & Rectal Surgical Practice, P.C. | Colon & Rectal Surgery | 1075 Franklin Ave., Garden City, NY 11530-2930 | 2010-03-09 |
| 1962655167 | Ilya Badalov Physician PC | Colon & Rectal Surgery | 13511 78th Dr, Flushing, NY 11367-3235 | 2008-10-31 |
| 1194981506 | Andre Da Luz Moreira | Colon & Rectal Surgery | 530 1st Ave Ste 7v, New York, NY 10016-6402 | 2008-08-05 |
| 1861671653 | Marian Fleischer | Colon & Rectal Surgery | 9707 Fourth Avenue, Brooklyn, NY 11209 | 2007-10-29 |
| 1710023031 | Advanced Colon and Rectal Surgery LLC | Colon & Rectal Surgery | 510 Broadhollow Road, Suite 307, Melville, NY 11747-3710 | 2007-01-30 |
| 1295885036 | C. Gene Cayten | Colon & Rectal Surgery | Olmmc, Department of Surgery, 600 East 233rd St., Bronx, NY 10466 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.