MEDICARE: INTEGRATED MEDICAL CENTER, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	MC03621	NJ
2	225100000X	Physical Therapist	QA008981	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1700942356	OTHER	NJ	NPI
2	1043376692	OTHER	NJ	NPI

General Provider Information

NPI Number	:	1548482367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED MEDICAL CENTER, P.A.

Provider Business Mailing Address
First Line	:	357 MIDLAND AVE
Second Line	:
City	:	GARFIELD
State	:	NJ
Zip	:	07026-1654
Country	:	US
Telephone Number	:	973-546-4400
Fax Number	:	973-546-5459

Provider Business Practice Location Address
First Line	:	357 MIDLAND AVE
Second Line	:
City	:	GARFIELD
State	:	NJ
Zip	:	07026-1654
Country	:	US
Telephone Number	:	973-546-4400
Fax Number	:	973-546-5459

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHARLES F BONANNO
Credential	:	D.C.
Telephone Number	:	973-546-4400

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1801898317 — DR. JOSEPH D. MIGLIACCIO D.P.M.
Practice Location Address:

357 MIDLAND AVE
GARFIELD, NJ
07026-1654

Practice Phone: 973-772-6100
Practice Fax: 973-546-5459

1700942356 — DR. CHARLES F BONANNO D.C
Practice Location Address:

357 MIDLAND AVE
GARFIELD, NJ
07026-1654

Practice Phone: 973-546-4400
Practice Fax: 973-546-5459

1689827669 — DR. CARL DEMMIE D.C.
Practice Location Address:

357 MIDLAND AVE
GARFIELD, NJ
07026-1654

Practice Phone: 973-546-5440
Practice Fax: 973-546-5459

1336003094 — GBEMISOLA AJEOLA ORE-OFE PMHNP-BC
Practice Location Address:

1 KARL PL APT 7
GARFIELD, NJ
07026-1622

Practice Phone: 646-201-6645
Practice Fax:

1407537277 — LORENA BENAVIDES LAZO LCSW
Practice Location Address:

384 RIVER DR
GARFIELD, NJ
07026-3327

Practice Phone: 201-424-2740
Practice Fax:

1306821509 — RICHARD E FILIPEK DPM
Practice Location Address:

486 VAN BUSSUM AVE
GARFIELD, NJ
07026-2060

Practice Phone: 973-546-1200
Practice Fax: 973-546-1819

Directions to “INTEGRATED MEDICAL CENTER, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.