MR. BONIFACIO SUMBILLO TANCHINGCO (APN) – Family Nurse Practitioner, NPI 1114498367

MR. BONIFACIO SUMBILLO TANCHINGCO (APN) is a healthcare provider. based in Somerville, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ00877600 (NJ). The NPI Number for MR. BONIFACIO SUMBILLO TANCHINGCO (APN) is 1114498367

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. BONIFACIO SUMBILLO TANCHINGCO (APN)
NPI
1114498367
Phone
(908) 429-5833
Address
110 REHILL AVE
Enumeration Date
16 December 2018
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328283000
Graduation Year
2007 (19 years ago)
PAC ID
8527482454
Group Practice PAC ID
0941612840
Professional Enrollment ID
I20200723002982
Address ID
NJ089011928NE1XXXXPLXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for MR. BONIFACIO SUMBILLO TANCHINGCO (APN)

  • Robert Wood Johnson University Hospital Somerset, 110, Rehill Avenue, Somerville, Somerset County, New Jersey, 08876, United States

    SOMERVILLE, NJ 088762519

    Phone: (908) 429-5833

    Fax: (908) 279-8515

    Type: Location

  • 1 ROBERT WOOD JOHNSON PL

    NEW BRUNSWICK, NJ 089011928

    Phone: (732) 507-8093

    Fax: (732) 613-1192

    Type: Location

  • 20, Rubar Drive, Sayreville Junction, Sayreville, Middlesex County, New Jersey, 08859, United States

    PARLIN, NJ 088592506

    Phone: (732) 241-2586

    Fax: (732) 613-1192

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200723002982INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6969$0
View full utilization report →

Insurance plans in this area (ZIP 08876)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941612840View full group profile
NameSpecialtyState
Internal MedicineNY
Internal MedicinePA
Internal MedicineNJ
Emergency MedicineNY
Emergency MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
Emergency MedicineNY
Internal MedicineWI
Emergency MedicineNJ

Reviews

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Frequently asked questions

Where can patients find MR. BONIFACIO SUMBILLO TANCHINGCO (APN)'s NPI?
You can confirm MR. BONIFACIO SUMBILLO TANCHINGCO (APN) with NPI 1114498367; it appears in the national provider directory.
Is MR. BONIFACIO SUMBILLO TANCHINGCO (APN)'s NPI currently valid?
The extract we use shows MR. BONIFACIO SUMBILLO TANCHINGCO (APN) as active.
Can you summarize MR. BONIFACIO SUMBILLO TANCHINGCO (APN)'s specialty in plain language?
Clinically, the directory lists MR. BONIFACIO SUMBILLO TANCHINGCO (APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. BONIFACIO SUMBILLO TANCHINGCO (APN)?
The page summarizes Somerville, New Jersey for MR. BONIFACIO SUMBILLO TANCHINGCO (APN); expand the address list for detail.
How can I contact MR. BONIFACIO SUMBILLO TANCHINGCO (APN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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