IndividualActive
Jennifer Bonner, MS ED.
NPI 1073104477 · Specialist · Brooklyn, NY
Jennifer Bonner, MS ED. is a Specialist provider in Brooklyn, NY (NPI 1073104477).
Provider details
- NPI number
- 1073104477
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MS ED.
- Sex
- Female
- Sole proprietor
- No
- License
- 1441986201 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4302 New Utrecht Ave
Brooklyn, NY 11219-1831
Phone: (718) 686-9600
Fax: (718) 686-6161
Street-level locationGet directions
Mailing address
4302 New Utrecht Ave
Brooklyn, NY 11219-1831
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Frequently asked questions
- What is Jennifer Bonner's NPI number?
- Jennifer Bonner's National Provider Identifier (NPI) is 1073104477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Bonner's specialty?
- Jennifer Bonner is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jennifer Bonner located?
- Jennifer Bonner's practice location on file with NPPES is 4302 New Utrecht Ave, Brooklyn, NY 11219-1831.
- What is Jennifer Bonner's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Bonner is (718) 686-9600.
- Is Jennifer Bonner's NPI active?
- Yes — Jennifer Bonner's NPI (1073104477) is active in the NPPES registry as of the last update on 2021-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.