Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Mark Carlos Bonagua, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1477077535

Mr. John Mark Carlos Bonagua, AGNP is a Nurse Practitioner in Bronx, New York. Qualified in 2016, 10 years ago. Practices with David Tavdy Medical Care PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2017
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

612 Allerton Ave
Bronx, NY 10467-7404
Phone: (718) 519-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308120 (NY)

Record details

NPI number1477077535
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESSeptember 11, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice David Tavdy Medical Care Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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