DR. JOSEPH BONANNO (NPI# 1811093057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811093057 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH BONANNO |
| Credential | M.D. |
| Practice Address |
26 Center Cir Wassaic NY 12592-2637 |
| Mailing Address |
16 Colman Lane Tivoli NY 12583-5834 |
| Practice Telephone | 8458776821 |
| Practice Fax Number | 8458773442 |
| Mailing Telephone | 8457575927 |
| Mailing Fax Number | 8457575927 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 180722 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1558339176 | Joseph A Bonanno | Specialist | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5138 | 2006-03-09 |
| 1083619399 | Joseph J. Bonanno | Radiology | 1026 Mar Walt Dr, Fort Walton Beach, FL 32547-6645 | 2005-06-15 |
| 1245234822 | Joseph Bonanno | Pediatrics | 4137 N 108th Ave, Phoenix, AZ 85037-5459 | 2005-06-10 |
| Street Address |
26 CENTER CIR |
| City | WASSAIC |
| State | NY |
| Zip Code | 12592-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770847782 | Christina M Spano-ruggiero | Psychologist | 26 Center Cir, Wassaic, NY 12592-2637 | 2012-06-25 |
| 1417131384 | New York State | Case Management | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-12-27 |
| 1518159524 | Donna Jean Pasternak | Physician Assistant | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-08-14 |
| 1336267962 | Nys Omrdd Taconic Ddso | Pharmacy | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-03-26 |
| 1346380797 | Gulbir X Bhatia | Pediatrics | 26 Center Cir, Taconic Developmental Center, Wassaic, NY 12592-2637 | 2007-02-07 |
| 1598804171 | Anantapur Panduranga | General Practice | 26 Center Cir, Wassaic, NY 12592-2637 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174852909 | State of New York | Intermediate Care Facility, Mentally Retarded | 50 Cedar Lane, Wassaic, NY 12592 | 2009-12-07 |
| 1124216981 | Jennifer Prater | Social Worker | 3620 Route 22, Wassaic, NY 12592 | 2007-10-05 |
| 1023159563 | State of New York | Intermediate Care Facility, Mentally Retarded | 70 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-09 |
| 1609916659 | State of New York | Intermediate Care Facility, Mentally Retarded | 67 Sinpatch Rd, Wassaic, NY 12592 | 2007-02-07 |
| 1376683854 | State of New York | Intermediate Care Facility, Mentally Retarded | Route 22, Wassaic, NY 12592 | 2007-02-07 |
| 1285956409 | Robin Ann Epstein | Social Worker | 3620 Route 22, Wassaic, NY 12592-2323 | 2010-02-16 |
| 1811154453 | Syma Cuttler | Counselor | 3620 Route 22, Wassaic, NY 12592-2323 | 2008-05-21 |
| 1891974457 | Astor Counseling Services | Community/Behavioral Health | 3620 Route 22, Wassaic, NY 12592-2323 | 2007-10-31 |
| 1871871020 | New York State | Intermediate Care Facility, Mentally Retarded | 51 Sinpatch Rd, Wassaic, NY 12592-2410 | 2011-07-21 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| Find all providers in zip 12592 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Find all providers with the same taxonomy | ||||
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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.