Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nicholas Bonomo

Individual provider Surgical Physician Assistant · NPI 1386975571

Nicholas Bonomo is a Physician Assistant in Waterbury, Connecticut. Qualified in 2009, 17 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
17
Licensed in
CT
In the registry since
2010
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Practice location Address checks out

56 Franklin St
Waterbury, CT 06706-1253
Phone: (203) 709-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1090862 (CT)

Record details

NPI number1386975571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2010
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients68
Services billed 89 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Trinity Health of New England Provider Network Organization Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 635 clinicians in the practice; 12 are shown here.

Other providers in Waterbury