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

Dr. Kevin Bonilla, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1730686403

Dr. Kevin Bonilla, MD is an Obstetrics/Gynecology in Islandia, New York. Graduated from Howard University College of Medicine in 2018, 8 years ago. Practices with North Shore Lij OB GYN PC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
Howard University College of Medicine
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3001 Express Dr N
Islandia, NY 11749-5301
Phone: (631) 292-6747
Show map & directions

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

Additional practice locations (1)

  • 301 E Main St, Bay Shore, NY 11706-8408 — (631) 968-3322

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 315669-01 (NY)

Record details

NPI number1730686403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Shore Lij Ob Gyn Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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