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RICHARD JOSEPH BONANNO MD
NPI 1750472528
Family Medicine in Brentwood, NY

Active since September 27, 2006
1869 BRENTWOOD RD, BRENTWOOD, NY 11717(631) 853-3458 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Joseph Bonanno Md NPPES

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

RICHARD JOSEPH BONANNO MD (NPI 1750472528) is an individual family medicine provider in Brentwood, New York, licensed in New York (118089) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1750472528
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD JOSEPH BONANNOCredential: MD
Location Address1869 BRENTWOOD RDBrentwood, NY 11717-4625
Mailing Address303 Plymouth AveBrightwaters, NY 11718-1409 · (631) 968-8517
Phone(631) 853-3458
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 18, 2008
✔ NPI 1750472528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 118089
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1869 BRENTWOOD RD, Brentwood, NY 11717
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Other Identifiers 4

Medicare ID-Type Unspecified97371NY
Medicaid00352727NY
Medicare PIN080096384NY
Medicare UPINB80260

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.

MOHAMMAD ABRAHAM CHAUDRY NP
Nurse Practitioner (Adult Health)
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (844) 400-1975
RAHUL SUBRAMANIAN IYER
Nurse Practitioner (Psychiatric/Mental Health)
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (844) 400-1975
LEWIS MOONEY MD
Clinic/Center (Public Health, State or Local)
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (631) 853-7243
DR. MARIA DEL ROSARIO VESEY M.D.
Family Medicine
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (631) 853-3428
LEAH GIAKAS PA-C
Physician Assistant
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (844) 400-1975
ROVENA L DESMARATTES CNM
Midwife
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (844) 400-1975
ROSE JOSEPH CHANDRANKUNNEL MD
Pediatrics
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (631) 853-3400
PRATIMA GOYAL MD
Family Medicine
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Suffolk County (631) 853-3400

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 Richard Bonanno's NPI number?

The NPI number for Richard Bonanno is 1750472528. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Richard Bonanno located?

Richard Bonanno practices at 1869 Brentwood Rd, Brentwood, NY 11717. The listed phone number is (631) 853-3458.

What is Richard Bonanno's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Richard Bonanno was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.