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Bonifacio Sumbillo Tanchingco

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928

PECOS Enrollment

This provider is enrolled in PECOS as BONIFACIO TANCHINGCO.

Based on the most recent information from CMS, provider Bonifacio Sumbillo Tanchingco is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1114498367
Provider Type
Individual
Full Name
Tanchingco, Bonifacio Sumbillo
Title
Mr.
Credential
APN

Gender
Male
Sole Proprietor
No
Enumeration Date
12/16/2018
Last Updated
1/20/2023

Contact Information

Practice Location

1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928

(732) 507-8093

(732) 613-1192

Mailing Location

20 Rubar Dr, Parlin, NJ 08859-2506

(732) 241-2586

(732) 613-1192

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ00877600 New Jersey

Bonifacio Sumbillo Tanchingco

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Kortbawi, Patricia Ann

Pathak, Vaibhavee

Donovan, Colleen

Billemeyer, Nicole

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Gurdak, Joanna M

Gonzales, Fia M

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