DANIELLE NICOLE BONIFAZIO PA-C
NPI 1083440275
Physician Assistant in Bay Shore, NY

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Danielle Nicole Bonifazio Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE NICOLE BONIFAZIO PA-C (NPI 1083440275) is an individual physician assistant in Bay Shore, New York and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083440275
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE NICOLE BONIFAZIOCredential: PA-C
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address11 Griggs DrGreenlawn, NY 11740-1415 · (516) 779-3173
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
NPI 1083440275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 E MAIN ST, Bay Shore, NY 11706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Danielle Nicole Bonifazio Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921528670
PECOS Enrollment IDI20250225001377
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Radiology (Diagnostic Radiology)
301 E MAIN ST
BAY SHORE, NY 11706
Orthopaedic Surgery
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706
Pathology (Anatomic Pathology & Clinical Pathology)
301 E MAIN ST
BAY SHORE, NY 11706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danielle Bonifazio's NPI number?

The NPI number for Danielle Bonifazio is 1083440275. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Danielle Bonifazio located?

Danielle Bonifazio practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Danielle Bonifazio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Bonifazio enrolled in Medicare?

Yes. Danielle Bonifazio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Danielle Bonifazio was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.