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

Dr. Edward John Bonavilla, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1629030960

Dr. Edward John Bonavilla, DPM is a Foot & Ankle Surgery Podiatrist in Rochester, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

490 Titus Ave
Rochester, NY 14617-3541
Phone: (585) 544-3620
Fax: (585) 544-4567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 002178 (NY)

Record details

NPI number1629030960
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESJuly 13, 2026

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