Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. EDWARD JOHN BONAVILLA DPM
NPI 1629030960
Podiatrist - Foot & Ankle Surgery in Rochester, NY

Active since April 03, 2006
490 TITUS AVE, ROCHESTER, NY 14617(585) 544-3620(585) 544-4567 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward John Bonavilla Dpm NPPES

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

DR. EDWARD JOHN BONAVILLA DPM (NPI 1629030960) is an individual foot & ankle surgery provider in Rochester, New York, licensed in New York (002178) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1629030960
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. EDWARD JOHN BONAVILLACredential: DPM
Location Address490 TITUS AVERochester, NY 14617-3541
Mailing Address490 Titus AveRochester, NY 14617-3541 · (585) 544-3620 · Fax (585) 544-4567
Fax(585) 544-4567
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1629030960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · 002178
490 TITUS AVE, Rochester, NY 14617

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
490 TITUS AVE
ROCHESTER, NY 14617
Nurse Practitioner (Family)
490 TITUS AVE
ROCHESTER, NY 14617

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 Edward Bonavilla's NPI number?

The NPI number for Edward Bonavilla is 1629030960. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Edward Bonavilla located?

Edward Bonavilla practices at 490 Titus Ave, Rochester, NY 14617. The listed phone number is (585) 544-3620.

What is Edward Bonavilla's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Edward Bonavilla was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.