Provider Demographics
NPI:1700571593
Name:BONDI, DONNA (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:BONDI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 STATE ROUTE 36
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:CLIFFWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07721
Mailing Address - Country:US
Mailing Address - Phone:848-702-0935
Mailing Address - Fax:
Practice Address - Street 1:111 STATE ROUTE 36
Practice Address - Street 2:SUITE # 7
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721
Practice Address - Country:US
Practice Address - Phone:848-702-0935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR05216400163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)