Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelica Marie Bonisese

Individual provider Registered Dietitian · NPI 1588248082

Angelica Marie Bonisese is a Registered Dietitian OR Nutrition Professional in Allentown, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

3080 Hamilton Blvd Ste 200
Allentown, PA 18103-3692
Phone: (484) 661-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN007175 (PA)

Record details

NPI number1588248082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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