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DR. JORGE BONILLA M.D
NPI 1376834176
Internal Medicine in Lindenhurst, NY

Active since April 27, 2011PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2168750 · Waiver
191 W HOFFMAN AVE, LINDENHURST, NY 11757(631) 608-4741(631) 608-4742 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Dec 10, 2019, Nov 5, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Jorge Bonilla M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORGE BONILLA M.D (NPI 1376834176) is an individual internal medicine provider in Lindenhurst, New York, licensed in New York (264692) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 8, 2027, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1376834176
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JORGE BONILLACredential: M.D
Location Address191 W HOFFMAN AVELindenhurst, NY 11757-4036
Mailing Address116 Broadway Ste 1Amityville, NY 11701-2797 · (631) 608-4741 · Fax (631) 608-4742
Phone(631) 608-4741
Fax(631) 608-4742
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 27, 2011
Last NPPES UpdateAugust 15, 20236 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1376834176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 264692
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
191 W HOFFMAN AVE, Lindenhurst, NY 11757
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Other Identifiers 1

Medicaid04343519NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jorge Bonilla M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890963318
PECOS Enrollment IDI20160401001309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2168750

Jorge Bonilla MD PC · Amityville, NY
Active · expires Jul 8, 2027
CLIA Number33D2168750
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorJorge L. Bonilla
Laboratory Phone(631) 608-4741
Laboratory LocationJorge Bonilla MD PC116 Broadway - Suite 1, Amityville, NY 11701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services23 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims35 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims17 services$1.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD GORODINSKY D.D.S
Dentist
191 W HOFFMAN AVE
LINDENHURST, NY 11757
Suffolk County (631) 226-2333
JORGE BONILLA MD PC
Internal Medicine
191 W HOFFMAN AVE
LINDENHURST, NY 11757
Suffolk County (631) 608-4741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Bonilla's NPI number?

The NPI number for Jorge Bonilla is 1376834176. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Jorge Bonilla located?

Jorge Bonilla practices at 191 W Hoffman Ave, Lindenhurst, NY 11757. The listed phone number is (631) 608-4741.

What is Jorge Bonilla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jorge Bonilla enrolled in Medicare?

Yes. Jorge Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Jorge Bonilla hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2168750) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jorge Bonilla was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.