VINCENT BONILLA
NPI 1629832126
Physician Assistant in Garden City, NY

Q: What is Vincent Bonilla's NPI number?

The NPI number for Vincent Bonilla is 1629832126. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Q: What is Vincent Bonilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Vincent Bonilla was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since February 06, 2024PECOS Enrolled

229 7TH ST STE 105, GARDEN CITY, NY 11530(516) 747-7778 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 30, 2024, Feb 6, 2024 (2 updates tracked since 2024).

On this page

About Vincent Bonilla NPPES

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

VINCENT BONILLA (NPI 1629832126) is an individual physician assistant in Garden City, New York and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629832126

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameVINCENT BONILLA

Location Address229 7TH ST STE 105Garden City, NY 11530-5766

Mailing Address229 7th St Ste 105Garden City, NY 11530-5766 · (516) 747-7778

Phone(516) 747-7778

Sole ProprietorNo

Enumeration DateFebruary 6, 2024

Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1629832126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

229 7TH ST STE 105, Garden City, NY 11530

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Bonilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

JENNIFER BOOTH APRN

Nurse Practitioner (Family)