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MARY ANN BONILLA M.D.
NPI 1316999154
Pediatrics - Pediatric Hematology-Oncology in Paterson, NJ

Active since May 17, 2006PECOS Enrolled
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503(973) 754-2000 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Ann Bonilla M.d. NPPES

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

MARY ANN BONILLA M.D. (NPI 1316999154) is an individual pediatric hematology-oncology provider in Paterson, New Jersey, licensed in New Jersey (25MA06328600) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316999154
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameMARY ANN BONILLACredential: M.D.
Location Address703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTERPaterson, NJ 07503-2621
Mailing Address703 Main St, St. Joseph's Regional Medical CenterPaterson, NJ 07503-2621 · (973) 754-2000
Phone(973) 754-2000
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 8, 2013
✔ NPI 1316999154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NJ · 25MA06328600
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
703 MAIN ST, Paterson, NJ 07503
Open in Google Maps ↗

Other Identifiers 3

Medicaid7243405NJ
Medicare UPIND93233
Medicare ID-Type Unspecified544592B8ANJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Bonilla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. SETAREH SHAMS MD
Obstetrics & Gynecology (Obstetrics)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2700
ANTOINE MANSOURATI MD
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
KARWAN AMEEN MD
Internal Medicine
703 MAIN ST
PATERSON, NJ 07503
Passaic County (718) 334-4000
SAIF HASAN DO
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
SUSAN MUGALU ANP
Nurse Practitioner (Family)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-0000
JONATHAN EDWARD MOVSIK
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
DIANE E MCCLURE CPNP
Nurse Practitioner (Neonatal, Critical Care)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2555
STEPHEN MASSOOD M.D.
Orthopaedic Surgery
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
PATERSON, NJ 07503
Passaic County (973) 754-2270

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 Mary Ann Bonilla's NPI number?

The NPI number for Mary Ann Bonilla is 1316999154. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Mary Ann Bonilla located?

Mary Ann Bonilla practices at 703 Main St St. Joseph's Regional Medical Center, Paterson, NJ 07503. The listed phone number is (973) 754-2000.

What is Mary Ann Bonilla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Mary Ann Bonilla enrolled in Medicare?

Yes. Mary Ann Bonilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ann Bonilla was last updated on March 8, 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.