Leo Vigne MD PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

207239-1 Issued in NY

Legal business name

LEO VIGNE MD PC

Practice address

106 W 105TH St Apt 16
New York, NY 10025-8802

Phone

(917) 733-0344

NPI assigned

Aug 30, 2018

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leo Gary Bonilla Jr., MD

Title

President

Phone

(347) 374-0554

Specialties & licenses 1

Addresses

Other names 1

• LEO VIGNE MD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leo Vigne, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1982609285
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1497237036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W 105TH ST APT 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258802",
            "telephone_number": "917-733-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 105TH ST APT 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258802",
            "telephone_number": "917-733-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO VIGNE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-374-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "207239-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEO VIGNE MD PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEO VIGNE MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LEO VIGNE MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Joseph Lenzi, PT,DPT
• Salvatore Robert Lenzo, MD
• Leo M. Keegan MD, PLLC
• Leo Storozum PHD Et Al PTR Family Counseling Service
• Leo Uemura Chiropractic Inc. (Uemura Chiropractic)
• Angela Marie Leo, DO
• Hannah Pei Leo, MD
• Joseph Leo
• Kristin M. Leo, L.C.S.W
• Melissa Leo

• Pain Medicine (Anesthesiology) Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.