Individual provider Active NPI

Gabriel Antonio Bonilla

  • Anesthesiology Physician
  • Valhalla, NY
National Provider Identifier
1306003207
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
263390 Issued in NY
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

Updated by the provider on Dec 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000629 NY Practitioner - Anesthesiology 4688830755 Reassigns benefits to 7 organizations

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
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
Jamaica Anesthesiologist PCGroup PAC ID 1355323460, 80 clinicians

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 Hospital, Poughkeepsie, NY, CCN 330023
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
263390NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 3, 2013 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jul 1, 2012 Accepting new patients
Montefiore Medical Center CurrentSince Jun 28, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Jun 3, 2013 Accepting new patients
Jamaica Anesthesiologist, PC Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jun 28, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Sep 27, 2023 Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Dec 16, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince Jun 15, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Anesthesiology CurrentSince Jun 15, 2020 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.