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BONA DEA GYNECOLOGY, LLC.
NPI 1316251119
Obstetrics & Gynecology - Gynecology in Oradell, NJ

Active since August 04, 2010CLIA 31D2267630 · Waiver
481 KINDERKAMACK RD, ORADELL, NJ 07649(551) 278-5898(551) 236-1771 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bona Dea Gynecology, Llc. NPPES

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

BONA DEA GYNECOLOGY, LLC. (NPI 1316251119) is a healthcare organization registered as a gynecology in Oradell, New Jersey and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through August 28, 2028, maintains a secondary practice location in Teaneck, and lists Tracy B Verrico, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1316251119
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameBONA DEA GYNECOLOGY, LLC.
Location Address481 KINDERKAMACK RDOradell, NJ 07649-1519
Mailing Address481 Kinderkamack RdOradell, NJ 07649-1519 · (551) 278-5898 · Fax (551) 236-1771
Phone(551) 278-5898
Fax(551) 236-1771
Organization SubpartNo
Authorized OfficialTracy B VerricoPhysician/owner · (551) 278-5898
Enumeration DateAugust 4, 2010
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1316251119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NJ · 25MB08210000
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
481 KINDERKAMACK RD, Oradell, NJ 07649
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Secondary Practice Location 1

Location 11086 Teaneck Rd, Suite 4F1Teaneck, NJ 07666-4853 · Phone (201) 530-5475 · Fax (201) 530-5477

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2267630

Bona Dea Gynecology LLC · Paramus, NJ
Active · expires Aug 28, 2028
CLIA Number31D2267630
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2026
Certificate Expiration DateAugust 28, 2028
Laboratory DirectorTracy Verrico
Laboratory Phone(551) 278-5898
Laboratory LocationBona Dea Gynecology LLC275 Forest Avenue, Ste 125, Paramus, NJ 07652
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CEDAR MEDICAL LLC
Internal Medicine
481 KINDERKAMACK RD
ORADELL, NJ 07649
Bergen County (201) 599-0101
DAREN SHIU DO
Family Medicine
481 KINDERKAMACK RD
ORADELL, NJ 07649
Bergen County (201) 599-0101
DR. TRACY B VERRICO D.O.
Obstetrics & Gynecology (Gynecology)
481 KINDERKAMACK RD
ORADELL, NJ 07649
Bergen County (551) 278-5898
DONALD R DEBLOCK MSN, RN-BC, ANP-BC
Nurse Practitioner (Adult Health)
481 KINDERKAMACK RD
ORADELL, NJ 07649
Bergen County (201) 599-0101
LAUREN IMBRIANI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
481 KINDERKAMACK RD
ORADELL, NJ 07649
Bergen County (201) 599-0101

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 Bona Dea Gynecology, LLC.'s NPI number?

The NPI number for Bona Dea Gynecology, LLC. is 1316251119. It was assigned to this organization in the NPPES registry on August 4, 2010.

Where is Bona Dea Gynecology, LLC. located?

Bona Dea Gynecology, LLC. is located at 481 Kinderkamack Rd, Oradell, NJ 07649. The listed phone number is (551) 278-5898.

What is Bona Dea Gynecology, LLC.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Bona Dea Gynecology, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2267630) is associated with this NPI, valid through August 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bona Dea Gynecology, LLC. was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.