Dr. Edward John Bonavilla, DPM
Podiatrist, Foot & Ankle Surgery in Rochester, NY. Individual provider (NPI-1).
NPI number1629030960
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1629030960
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward John Bonavilla
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 002178 | NY | Yes |
Practice location
490 Titus AveRochester, NY 14617-3541
Phone 585-544-3620 · Fax 585-544-4567
Mailing address
490 Titus AveRochester, NY 14617-3541
Phone 585-544-3620 · Fax 585-544-4567
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Podiatrist, Foot & Ankle Surgery providers in Rochester, NY
- Dr. Faith Debra Adams, DPMNPI 1316914609
- Dr. John G Addino, DPMNPI 1851341101
- Michael Lawrence Akyuz, DPMNPI 1417094319
- Hanna Thankam AlexanderNPI 1255228037
- Arthur S Wright Dpm PCNPI 1518259688
- Arthur S Wright Dpm PCNPI 1316193402
- Edward Peter Barra, DPMNPI 1407935943
- Ishali Bhatia, DPMNPI 1669429528
- Bhaskar Bhattacharyya, DPMNPI 1851393870
- Dr. Daniel Caiola, DPMNPI 1902956436
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.