Individual provider Active NPI

Migdalia Zoe Bonilla Martir, MD

  • Obstetrics & Gynecology Physician
  • Mount Kisco, NY
National Provider Identifier
1689975690
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
287586-01 Issued in NY
Practice address
15 Moore Ave Ste LR
Mount Kisco, NY 10549-3100
Phone
(914) 218-8188
Fax
(914) 218-8189
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 287586-01 NY Primary
Obstetrics & Gynecology Physician 207V00000X 25MA09414500 NJ
Obstetrics & Gynecology Physician 207V00000X 67379 CT

Addresses

Primary practice location

15 Moore Ave Ste LR
Mount Kisco, NY 10549-3100

Mailing address

15 Moore Ave Ste LR
Mount Kisco, NY 10549-3100
Phone (914) 218-8188

Other practice location 1

101 Secon Street
Lakewood, NJ 08701-3324
Phone (732) 363-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140703001015 NJ Practitioner - Obstetrics/Gynecology 7113142217 Reassigns benefits to 2 organizations
I20170213001937 NY Practitioner - Obstetrics/Gynecology 7113142217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

143 N St
Auburn, NY 13021-1852

17 Lansing St
Auburn, NY 13021-1983

77 Nelson St
Auburn, NY 13021-1941

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67379CTMDObstetrics & Gynecology Physician
25MA09414500NJMDObstetrics & Gynecology Physician
287586-01NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives, Inc CurrentSince Sep 15, 2014 Accepting new patients
Auburn Community Hospital CurrentSince Jan 3, 2026 Accepting new patients
Lakewood Resource and Referral Center Inc CurrentSince Dec 1, 2021 Accepting new patients
Bronxcare Health System Current Accepting new patients
Auburn Memorial Medical Services, PC Obstetrics & Gynecology CurrentSince Jan 3, 2026 Accepting new patients
Ocean Health Initiatives Inc Obstetrics & Gynecology Current Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Sep 15, 2014 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jan 3, 2026 Accepting new patients
Auburn Community Hospital CurrentSince Jan 3, 2026 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Bronxcare Health System Past Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 12

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 1

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1689975690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOORE AVE STE LR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493100",
            "telephone_number": "914-218-8188",
            "fax_number": "914-218-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOORE AVE STE LR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493100",
            "telephone_number": "914-218-8188",
            "fax_number": "914-218-8189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Secon Street",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013324",
            "country_code": "US",
            "telephone_number": "732-363-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONILLA MARTIR",
        "first_name": "MIGDALIA",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "287586-01",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09414500",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "67379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.