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

Dr. Jorge Bonilla, MD

Individual provider Internal Medicine Physician · NPI 1376834176

Dr. Jorge Bonilla, MD is an Internal Medicine in Lindenhurst, New York. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
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

191 W Hoffman Ave
Lindenhurst, NY 11757-4036
Phone: (631) 608-4741
Fax: (631) 608-4742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 264692 (NY)

Record details

NPI number1376834176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2011
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address116 Broadway Ste 1, Amityville, NY 11701-2797

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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