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OMAWATIE SHELLY GOPEE-BONILLA MSN, RN, FNP-BC
NPI 1700421336
Nurse Practitioner - Family in Bronx, NY

Active since November 07, 2019
1775 GRAND CONCOURSE FL 5, BRONX, NY 10453(561) 472-4701 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omawatie Shelly Gopee-bonilla Msn, Rn, Fnp-bc NPPES

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

OMAWATIE SHELLY GOPEE-BONILLA MSN, RN, FNP-BC (NPI 1700421336) is an individual family provider in Bronx, New York, licensed in New York (F345067-01) and active in the NPI registry since November 2019. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1700421336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOMAWATIE SHELLY GOPEE-BONILLACredential: MSN, RN, FNP-BC
Location Address1775 GRAND CONCOURSE FL 5Bronx, NY 10453-8202
Mailing Address289 Helena AveYonkers, NY 10710-2118 · (561) 472-4701
Phone(561) 472-4701
Sole ProprietorYes
Enumeration DateNovember 7, 2019
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedMay 1, 2020
✔ NPI 1700421336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F345067-01
1775 GRAND CONCOURSE FL 5, Bronx, NY 10453
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Other Names 1

Former Name (1)Omawatie Gopee-santana Msn, Rn, Fnp-bc

Secondary Practice Location 1

Location 13314 Steuben AveBronx, NY 10467-2806 · Phone (561) 472-4701

Other Identifiers 2

OtherF345067-01NY · New York State Office Of The Professions
Other2019039937MD · American Nurses Credentialing Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Omawatie Gopee-bonilla's NPI number?

The NPI number for Omawatie Gopee-bonilla is 1700421336. It was assigned to this individual provider in the NPPES registry on November 7, 2019. The provider is also known as Omawatie Gopee-Santana Msn, Rn, Fnp-Bc.

Where is Omawatie Gopee-bonilla located?

Omawatie Gopee-bonilla practices at 1775 Grand Concourse Fl 5, Bronx, NY 10453. The listed phone number is (561) 472-4701.

What is Omawatie Gopee-bonilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Omawatie Gopee-bonilla was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.