Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992083034 Individual Practitioner Female Practitioner

Lissette Bonilla

Speech-Language Pathologist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Lissette Bonilla is a registered healthcare professional specializing in Speech-Language Pathologist in Bronx, NY. Practice services are available at 3250 WESTCHESTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3250 Westchester Ave

Bronx, NY 104614500

Telephone 7185975558
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1176 Specialists

Practicing in Bronx, NY (25106 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 018890-1

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jaime Johnson

Specialist

NPI 1003170945
NPI 1003178369

Master of Arts, BEA

NPI 1003178781
Redouane Hadi

Specialist

NPI 1013270537
Brianna Brockman

Speech-Language Pathologist

NPI 1043614415
Melissa Rivera

Case Manager/Care Coordinator

NPI 1053674366

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2011

Registered at 3250 WESTCHESTER AVE, BRONX, NY 104614500 (Tel: 7185975558)

📍
Updated Business Mailing Address July 22, 2011

Registered at 115 DOGWOOD WAY, HACKETTSTOWN, NJ 078404849 (Tel: 9179927095)

👤
Provider Name / Credentials Updated July 22, 2011

Recorded as LISSETTE BONILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2011

Speech-Language Pathologist (License #018890-1 in NY)

🟢
Initial NPI Registration & Enumeration July 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992083034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2011
Last Update: July 22, 2011
Sole Proprietor: Yes

Mailing Address

115 Dogwood Way

Hackettstown, NJ 078404849

Phone: 9179927095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.