BOLANLE A AKINGBOYE D. O.
NPI 1376646364
Pediatrics in Montclair, NJ

Active since September 06, 2006PECOS Enrolled
1 SEYMOUR ST, MONTCLAIR, NJ 07042(973) 744-6939(973) 744-0365 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bolanle A Akingboye D. O. NPPES

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

BOLANLE A AKINGBOYE D. O. (NPI 1376646364) is an individual pediatrics provider in Montclair, New Jersey, licensed in New Jersey (25MB08107100) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376646364
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBOLANLE A AKINGBOYECredential: D. O.
Location Address1 SEYMOUR STMontclair, NJ 07042-3771
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (973) 744-6939 · Fax (973) 744-0365
Fax(973) 744-0365
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1376646364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB08107100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 SEYMOUR ST, Montclair, NJ 07042

Other Identifiers 2

OtherD08943400NJ · Cds
Medicaid0124567NJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bolanle A Akingboye D. O. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Bolanle Akingboye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 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 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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 12

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

Dermatology
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Pediatrics (Adolescent Medicine)
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Surgery
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Orthopaedic Surgery
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Pediatrics
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Dermatology
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Family Medicine
1 SEYMOUR ST
MONTCLAIR, NJ 07042
Radiology (Diagnostic Radiology)
1 SEYMOUR ST
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 Bolanle Akingboye's NPI number?

The NPI number for Bolanle Akingboye is 1376646364. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Bolanle Akingboye located?

Bolanle Akingboye practices at 1 Seymour St, Montclair, NJ 07042. The listed phone number is (973) 744-6939.

What is Bolanle Akingboye's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bolanle Akingboye enrolled in Medicare?

Yes. Bolanle Akingboye is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bolanle Akingboye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bolanle Akingboye reassigns Medicare benefits to 2 organizations: Summit Medical Group PA (Berkeley Heights, NJ) and Advocare, LLC (Marlton, 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 Bolanle Akingboye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bolanle Akingboye accept?

Health plans from Oscar Health list Bolanle Akingboye 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 Akingboye was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.