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

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: October 25, 2026.

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

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
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)
1 BAY AVE, Montclair, NJ 07042

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tochukwu Mbolu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
22-18 BROADWAY, SUITE 201
Fair Lawn, NJ 07410
  • Reassigned Medicare billing, New Jersey enrollment
  • 43 clinicians in this Medicare group
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042

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.

Which organizations bill Medicare for Tochukwu Mbolu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tochukwu Mbolu reassigns Medicare benefits to 3 organizations: Heart & Vascular Associates Of Northern Jersey, P.A. (Fair Lawn, NJ), Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tochukwu Mbolu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tochukwu Mbolu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Tochukwu Mbolu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.