BOLANLE AHAZIE PMHNP (APN)
NPI 1346831716
Nurse Practitioner - Psychiatric/Mental Health in Port Reading, NJ
About Bolanle Ahazie Pmhnp (apn) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLANLE AHAZIE PMHNP (APN) (NPI 1346831716) is an individual psychiatric/mental health provider in Port Reading, New Jersey, licensed in New Jersey (26NJ01106700) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Bolanle Ahazie Pmhnp (apn) 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.
Medicare Billing Reassignment
Medicare enrollment records show Bolanle Ahazie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 34 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Bolanle Ahazie's NPI number?
The NPI number for Bolanle Ahazie is 1346831716. It was assigned to this individual provider in the NPPES registry on January 28, 2021.
Where is Bolanle Ahazie located?
Bolanle Ahazie practices at 50 Henry St, Port Reading, NJ 07064. The listed phone number is (732) 896-1131.
What is Bolanle Ahazie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bolanle Ahazie enrolled in Medicare?
Yes. Bolanle Ahazie 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 organization bills Medicare for Bolanle Ahazie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bolanle Ahazie reassigns Medicare benefits to Forge Medical Group, LLC (West Orange, NJ). The 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 Bolanle Ahazie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bolanle Ahazie accept?
Health plans from Cigna Healthcare, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Bolanle Ahazie 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.
When was this NPI record last updated?
The NPPES record for Bolanle Ahazie was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Bolanle Ahazie, PMHNP (APN) · NPI 1346831716
Psychiatric/Mental Health physician in Port Reading, New Jersey. Individual provider, active in the CMS NPPES registry since January 28, 2021.
## Identity
- **NPI:** 1346831716 (Entity type: Individual)
- **Enumerated:** January 28, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ01106700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 HENRY ST, Port Reading, NJ 07064-1016
- **Phone:** (732) 896-1131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forge Medical Group, LLC (NPI 1962175026, West Orange, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1346831716) · Data from the CMS NPPES public registry.