MR. VALENTIN BONILLA JR. (NPI# 1588811442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588811442 |
| Entity Type | Individual |
| Full Name | MR. VALENTIN BONILLA JR. |
| Credential | PA |
| Practice Address |
160 Water St 2420 New York NY 10038-4922 |
| Mailing Address |
23b Cooper Pl Bronx NY 10475-2805 |
| Practice Telephone | 2122562602 |
| Practice Fax Number | 2122562609 |
| Mailing Telephone | 9178566274 |
| Mailing Fax Number | 2122562609 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
000569-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000569 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02994489 | 05 |
| Street Address |
160 WATER ST 2420 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142540 | Helaine Katoria Worrell | Obstetrics & Gynecology | 160 Water St, New York, NY 10038-4922 | 2006-02-10 |
| 1427570530 | Johanne Maurisset | Nurse Practitioner | 160 Water St, New York, NY 10038-4922 | 2017-07-10 |
| 1063840098 | Caitlin Moran | Dietitian, Registered | 160 Water St, 19th Floor, New York, NY 10038-4922 | 2013-10-30 |
| 1700120011 | Lydia Lucca | Physician Assistant | 160 Water St, 3rd Floor, New York, NY 10038-4922 | 2012-11-27 |
| 1730459900 | Metroplus Health Plan Inc. | Case Management | 160 Water St, 3rd Floor, New York, NY 10038-5009 | 2012-01-05 |
| 1447584008 | Slrhc Faculty Practice | Dermatology | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1548594203 | Bimc Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1487988044 | Lich Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1174772479 | Beth Israel Medical Center | Clinic/Center | 160 Water St, New York, NY 10038-4922 | 2008-09-11 |
| 1881817583 | Beth Israel Medical Center | General Acute Care Hospital | 160 Water St, New York, NY 10038-4922 | 2007-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1932737574 | Raheej Choudhary | Physician Assistant | 115 Broadway Rm 1300, New York, NY 10006-1600 | 2020-03-30 |
| 1992354534 | Herless S Sun | Physician Assistant | 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 | 2019-09-06 |
| 1134773781 | Kristin Goodkin | Physician Assistant | 170 E 108th St Apt 5, New York, NY 10029-3635 | 2019-07-31 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1366965774 | Christy Mcgorman | Physician Assistant | 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 | 2017-07-18 |
| 1891215562 | Steven Kahler | Physician Assistant | 67 Irving Pl Fl 5, New York, NY 10003-2255 | 2017-06-23 |
| 1255881157 | Ross Joseph Morgan IIi | Physician Assistant | 160 E 56th St Fl T12, New York, NY 10022-3609 | 2016-10-04 |
| 1659723021 | Woo Jung Kim | Physician Assistant | 131 W 35th St Ste 700, New York, NY 10001-2111 | 2016-07-08 |
| 1639538317 | Arielle Romm | Physician Assistant | 928 Broadway Ste 204, New York, NY 10010-8162 | 2016-02-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.