JACLYN BONNAFOUX DMSC PA-C
NPI 1154870202
Physician Assistant in Paramus, NJ

Q: What is Jaclyn Bonnafoux's NPI number?

The NPI number for Jaclyn Bonnafoux is 1154870202. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Q: What is Jaclyn Bonnafoux's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Bonnafoux was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2016PECOS EnrolledAccepts Medicare Assignment

230 E RIDGEWOOD AVE, PARAMUS, NJ 07652(201) 398-8368 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2025, Sep 30, 2016 (2 updates tracked since 2016).

On this page

About Jaclyn Bonnafoux Dmsc Pa-c NPPES

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

JACLYN BONNAFOUX DMSC PA-C (NPI 1154870202) is an individual physician assistant in Paramus, New Jersey, licensed in New Jersey (25MP00410400) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Bergen New Bridge Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154870202

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACLYN BONNAFOUXCredential: DMSC PA-C

Location Address230 E RIDGEWOOD AVEParamus, NJ 07652-4142

Mailing Address230 E Ridgewood AveParamus, NJ 07652-4142

Phone(201) 398-8368

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 30, 2016

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1154870202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00410400

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.

230 E RIDGEWOOD AVE, Paramus, NJ 07652

Open in Google Maps ↗

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

Jaclyn Bonnafoux Dmsc 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 ID1850672395

PECOS Enrollment IDI20161221001494

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ

OwnershipVoluntary non-profit - Private

CMS Certification Number310058

Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07652 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

PAJTESA KUKAJ MD

Student in an Organized Health Care Education/Training Program