Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Giovanni Bonomo, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1386934917

Dr. Giovanni Bonomo, MD is a Colorectal Surgery (Proctology) in Staten Island, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

256 Mason Ave Bldg C3
Staten Island, NY 10305-3408
Phone: (718) 226-6398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 297392-1 (NY)

Record details

NPI number1386934917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2011
Last updated in NPPESMarch 2, 2020
Certification dateMarch 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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