Active NPI
Gabriel Antonio Bonilla
- Anesthesiology Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 263390
- Practice address
- 95 Grasslands Rd
Valhalla, NY 10595-1652 - Phone
- (202) 493-7693
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 263390 | NY | Primary |
Addresses
Primary practice location
95 Grasslands Rd
Valhalla, NY 10595-1652
Mailing address
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (202) 493-7693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Miami, LM Miller School of Medicine, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6088
Hospital & facility affiliations
- Vassar Brothers Medical Center
- Jamaica Hospital Medical Center
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263390 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Anesthesiology | Current | Accepting new patients |
| Jamaica Anesthesiologist, PC | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Singular Anesthesia Services, PLLC | Anesthesiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Anesthesiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Anesthesiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1 Pondfield Rd W
Ste 2
Bronxville, NY 10708
Phone (914) 472-4610
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
21 Laurel Ave
Ste 120
Cornwall, NY 12518
Phone (845) 458-7800
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
234 N Central Ave
Hartsdale, NY 10530
Phone (914) 529-0027
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222
33 Grand St
Kingston, NY 12401
Phone (845) 338-1535
301 Hurley Ave
Kingston, NY 12401
Phone (845) 309-7597
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
22 Green St
Poughkeepsie, NY 12601
Phone (845) 471-3720
325 Founders Way
Poughkeepsie, NY 12603
Phone (845) 473-6144
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309
136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
226 Westchester Ave
White Plains, NY 10604
Phone (914) 437-9910
970 N Broadway
Ste 307
Yonkers, NY 10701
Phone (914) 627-0206
984 N Broadway
Ste 501
Yonkers, NY 10701
Phone (914) 636-1700
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1508812892
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Anesthesiology
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1063766038
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1306003207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 GRASSLANDS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951652",
"telephone_number": "202-493-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 GRASSLANDS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951652",
"telephone_number": "202-493-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "GABRIEL",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "263390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.