DR. TOCHUKWU G. MBOLU MD
NPI 1144859620
Internal Medicine in Montclair, NJ

Q: What is Tochukwu Mbolu's NPI number?

The NPI number for Tochukwu Mbolu is 1144859620. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Tochukwu Mbolu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Tochukwu Mbolu was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

1 BAY AVE, MONTCLAIR, NJ 07042(862) 333-4700(973) 893-5439 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Nov 14, 2022, Apr 6, 2020 (3 updates tracked since 2020).

On this page

About Dr. Tochukwu G. Mbolu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOCHUKWU G. MBOLU MD (NPI 1144859620) is an individual internal medicine provider in Montclair, New Jersey, licensed in New Jersey (25MA11948900) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144859620

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. TOCHUKWU G. MBOLUCredential: MD

Location Address1 BAY AVEMontclair, NJ 07042-4837

Mailing Address1 Bay AveMontclair, NJ 07042-4837 · (862) 333-4700 · Fax (973) 893-5439

Phone(862) 333-4700

Fax(973) 893-5439

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 6, 2020

Last NPPES UpdateJanuary 22, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2024

✔ NPI 1144859620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA11948900

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 25MA11948900 (NJ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 BAY AVE, Montclair, NJ 07042

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tochukwu G. Mbolu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173912672

PECOS Enrollment IDI20231216000432

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMRAH GHANI MD

Student in an Organized Health Care Education/Training Program

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (862) 333-4700

JACLYN TAYLOR SCHMITZ

Student in an Organized Health Care Education/Training Program

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (973) 429-6888

MYINT KYI M.D.

Anesthesiology

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (973) 429-6219

EDWARD PETRARCA LCSW

Social Worker (Clinical)

1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042

Essex County (973) 429-6813

ANN FRANCES VALLONE NURSE PRACTITIONER

Nurse Practitioner (Adult Health)

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (973) 429-6272

ANN SAMIR YASIN IBRAHIM

Student in an Organized Health Care Education/Training Program

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (862) 333-4700

GEORGE JAMES ZACH

Dentist

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (973) 429-6888

MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP

Nurse Practitioner (Neonatal)

1 BAY AVE
MONTCLAIR, NJ 07042

Essex County (973) 429-6991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tochukwu Mbolu's NPI number?

The NPI number for Tochukwu Mbolu is 1144859620. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Tochukwu Mbolu located?

Tochukwu Mbolu practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (862) 333-4700.

What is Tochukwu Mbolu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tochukwu Mbolu enrolled in Medicare?

Yes. Tochukwu Mbolu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tochukwu Mbolu affiliated with any hospitals?

According to CMS data, Tochukwu Mbolu is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Tochukwu Mbolu was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.