MRS. NATALIE M BONOMO PA-C
NPI 1902159940
Physician Assistant - Surgical in Staten Island, NY

Q: What is Natalie Bonomo's NPI number?

The NPI number for Natalie Bonomo is 1902159940. It was assigned to this individual provider in the NPPES registry on October 15, 2012. The provider is also known as Ms. Natalie M. Franks.

Q: What is Natalie Bonomo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Natalie Bonomo was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 15, 2012PECOS Enrolled

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2021, Aug 17, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Mrs. Natalie M Bonomo Pa-c NPPES

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

MRS. NATALIE M BONOMO PA-C (NPI 1902159940) is an individual surgical provider in Staten Island, New York, licensed in Pennsylvania (MA058118) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902159940

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. NATALIE M BONOMOCredential: PA-C

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-3577

Phone(718) 226-9000

Sole ProprietorNo

Enumeration DateOctober 15, 2012

Last NPPES UpdateMarch 16, 20215 updates tracked since enumeration

NPPES CertifiedMarch 10, 2021

✔ NPI 1902159940 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 PA · MA058118

475 SEAVIEW AVE, Staten Island, NY 10305

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Other Names 1

Former Name (1)Ms. Natalie M. Franks

Secondary Practice Locations 2

Location 11250 S Cedar Crest Blvd Ste 215Allentown, PA 18103-6271 · Phone (610) 402-6986

Location 2503 N 21st StCamp Hill, PA 17011 · Phone (717) 972-4862

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Natalie M Bonomo Pa-c 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.

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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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)