{"npi":"1376834176","type":"NPI-1","status":"active","name":{"display":"Dr. Jorge Bonilla M.D","other":[],"first":"JORGE","last":"BONILLA","credential":"M.D"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NY","license":"264692"}]},"addresses":[{"purpose":"LOCATION","street_1":"191 W HOFFMAN AVE","city":"LINDENHURST","state":"NY","postal_code":"117574036","country_code":"US","phone":"6316084741","fax":"6316084742"},{"purpose":"MAILING","street_1":"116 BROADWAY STE 1","city":"AMITYVILLE","state":"NY","postal_code":"117012797","country_code":"US","phone":"6316084741","fax":"6316084742"}],"license":{"state":"NY","number":"264692"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"04343519","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160401001309","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NY","pac_id":"5890963318"}]},"enumeration_date":"2011-04-27","last_updated":"2023-08-15","_meta":{"source":"NPPES","snapshot_date":"2023-08-15","doc_url":"https://findmynpi.com/api"}}