JACLYN BONNAFOUX (DMSC PA-C) – Physician Assistant, NPI 1154870202
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for JACLYN BONNAFOUX (DMSC PA-C)
Monmouth Medical Center, Southern Campus, 600, River Avenue, Seven Stars, Lakewood, Ocean County, New Jersey, 08701, United States
LAKEWOOD, NJ 087015237
Phone:
Type: Mailing
230 E RIDGEWOOD AVE
PARAMUS, NJ 076524142
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($76).
Total Amount
$76
General + Research + Ownership
Payments
1
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher & Paykel Healthcare Inc | $76 |
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: 2016-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161221001494 | I | Physician Assistant | NJ | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine, Family Practice | NJ | |
| Hospitalist, Family Practice | PA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ |
Reviews
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