Jessica Bonheur, MD
Student in an Organized Health Care Education/Training Program in Bethpage, NY. Individual provider (NPI-1).
Details
- NPI
- 1992648265
- Entity type
- Individual (NPI-1)
- Name
- Jessica Bonheur
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 12, 2026
- Last updated
- Apr 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4295 Hempstead TpkeBethpage, NY 11714-5713
Phone 516-579-6000
Mailing address
1000 Montauk HwyWest Islip, NY 11795-4927
Fax 631-376-3420
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.
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