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DR. MICHAEL ANGELO BUONOMO I MS.ED.,PH.D.
NPI 1194068080
Counselor - Mental Health in Port Jefferson Station, NY

Active since March 29, 2013
5225 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 473-4284(631) 331-2204 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Angelo Buonomo I Ms.ed.,ph.d. NPPES

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

DR. MICHAEL ANGELO BUONOMO I MS.ED.,PH.D. (NPI 1194068080) is an individual mental health provider in Port Jefferson Station, New York, licensed in New York (1702281) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1194068080
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. MICHAEL ANGELO BUONOMO ICredential: MS.ED.,PH.D.
Location Address5225 NESCONSET HWYPort Jefferson Station, NY 11776
Mailing Address5225 Nesconset Hwy, 5225 Nesconset HwyPort Jefferson Station, NY 11776-2053 · (631) 473-4284 · Fax (631) 331-2204
Phone(631) 473-4284
Fax(631) 331-2204
Sole ProprietorYes
Enumeration DateMarch 29, 2013
✔ NPI 1194068080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 1702281
5225 NESCONSET HWY, Port Jefferson Station, NY 11776
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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.

MS. BERNADETTE MARIE TIMKO OTR/L
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. YOANY TANNER OT
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFF STA, NY 11776
Suffolk County (631) 473-4284
REINETTE MARIE CICERO OTR/L
Occupational Therapist
5225 NESCONSET HWY, SUITE 41-42
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. WAJIHA SHEIKH PT
Physical Therapist
5225 NESCONSET HWY, BUILDING 6 SUITE 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-2204
MS. KATHY MARIE JOHNSON OTR
Occupational Therapist
5225 NESCONSET HWY, 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. LORETTA D BRADY OTR L
Occupational Therapist
5225 NESCONSET HWY, SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC
PORT JEFFERSON, NY 11776
Suffolk County (631) 473-4284
DEIDRE M POSTUPACK PT
Specialist
5225 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
DR. KUMAR MADOM MD
Pediatrics
5225 NESCONSET HWY, SUITE 35
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-3232

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 Michael Buonomo's NPI number?

The NPI number for Michael Buonomo is 1194068080. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Michael Buonomo located?

Michael Buonomo practices at 5225 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 473-4284.

What is Michael Buonomo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Buonomo was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.