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NICHOLAS BONOMO
NPI 1386975571
Physician Assistant - Surgical in Waterbury, CT

Active since January 27, 2010PECOS EnrolledAccepts Medicare Assignment
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Bonomo NPPES

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

NICHOLAS BONOMO (NPI 1386975571) is an individual surgical provider in Waterbury, Connecticut, licensed in Connecticut (1090862) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386975571
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameNICHOLAS BONOMO
Location Address56 FRANKLIN STWaterbury, CT 06706-1253
Mailing Address46 S Cherry St, Unit 244Wallingford, CT 06492-3596
Phone(203) 709-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 27, 2010
Last NPPES UpdateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1386975571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 1090862
56 FRANKLIN ST, Waterbury, CT 06706
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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

Nicholas Bonomo 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 ID2567507874
PECOS Enrollment IDI20100310000828
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services19 patients

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.

CHARIS WIPFLER
Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 709-6140
SHANZAY HAIDER M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8685
DENISSE BURGOS-JIMENEZ
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 989-6067
SYED FARHAN IQBAL RIZVI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8820
YAEL MARITZA CALLE
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (516) 993-0460
DR. JOSEPH D SCUDERI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
MAPLE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (469) 401-2386
MIGUEL ANGEL BRAVO JR. MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479

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 Nicholas Bonomo's NPI number?

The NPI number for Nicholas Bonomo is 1386975571. It was assigned to this individual provider in the NPPES registry on January 27, 2010.

Where is Nicholas Bonomo located?

Nicholas Bonomo practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-6000.

What is Nicholas Bonomo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicholas Bonomo enrolled in Medicare?

Yes. Nicholas Bonomo 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 Nicholas Bonomo was last updated on October 19, 2021. 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.