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

MS. Mary M Bonomo, PA

Individual provider Surgical Physician Assistant · NPI 1376861690

MS. Mary M Bonomo, PA is a Surgical Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5501 Old York Rd Klein 510
Philadelphia, PA 19141-3018
Phone: (215) 456-6933
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA051566 (PA)

Record details

NPI number1376861690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2010
Last updated in NPPESMay 11, 2010

Other providers in Philadelphia