EDWIN A BONILLA PMHNP
NPI 1972247104
Nurse Practitioner - Psychiatric/Mental Health in Westfield, NJ

Active since April 25, 2022
354 SOUTH AVE E, WESTFIELD, NJ 07090(908) 233-8065 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Apr 25, 2022 (2 updates tracked since 2022).

About Edwin A Bonilla Pmhnp NPPES

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

EDWIN A BONILLA PMHNP (NPI 1972247104) is an individual psychiatric/mental health provider in Westfield, New Jersey, licensed in New Jersey (26NJ01308100) and active in the NPI registry since April 2022. He maintains a secondary practice location in Perth Amboy.

NPPES Registry Identity

NPI1972247104
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEDWIN A BONILLACredential: PMHNP
Location Address354 SOUTH AVE EWestfield, NJ 07090-1788
Mailing Address354 South Ave EWestfield, NJ 07090-1788
Sole ProprietorYes
Enumeration DateApril 25, 2022
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1972247104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ01308100
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR16611700 (NJ)
354 SOUTH AVE E, Westfield, NJ 07090

Secondary Practice Location 1

Location 1520 Convery BlvdPerth Amboy, NJ 08861-3021 · Phone (732) 826-9222

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
354 SOUTH AVE E
WESTFIELD, NJ 07090
Counselor (Professional)
354 SOUTH AVE E
WESTFIELD, NJ 07090
Psychiatry & Neurology (Psychiatry)
354 SOUTH AVE E
WESTFIELD, NJ 07090
Counselor (Professional)
354 SOUTH AVE E
WESTFIELD, NJ 07090
Nurse Practitioner (Psychiatric/Mental Health)
354 SOUTH AVE E
WESTFIELD, NJ 07090
Social Worker
354 SOUTH AVE E
WESTFIELD, NJ 07090
Nurse Practitioner (Psychiatric/Mental Health)
354 SOUTH AVE E
WESTFIELD, NJ 07090

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 Edwin Bonilla's NPI number?

The NPI number for Edwin Bonilla is 1972247104. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Edwin Bonilla located?

Edwin Bonilla practices at 354 South Ave E, Westfield, NJ 07090. The listed phone number is (908) 233-8065.

What is Edwin Bonilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Edwin Bonilla was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.