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AYRTON ILOLO BANGOLO MD
NPI 1457988941
Internal Medicine in North Bergen, NJ

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
7600 RIVER RD, NORTH BERGEN, NJ 07047(201) 710-2756(201) 758-2740 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Mar 24, 2020 (2 updates tracked since 2020).

About Ayrton Ilolo Bangolo Md NPPES

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

AYRTON ILOLO BANGOLO MD (NPI 1457988941) is an individual internal medicine provider in North Bergen, New Jersey, licensed in New Jersey (25MA11645000) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Palisades Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457988941
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAYRTON ILOLO BANGOLOCredential: MD
Location Address7600 RIVER RDNorth Bergen, NJ 07047-6217
Mailing Address4522 John F. Kennedy BlvdUnion City, NJ 07087 · (201) 863-1797
Phone(201) 710-2756
Fax(201) 758-2740
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2020
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1457988941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11645000
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.
7600 RIVER RD, North Bergen, NJ 07047
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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

Ayrton Ilolo Bangolo 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 ID4385009083
PECOS Enrollment IDI20230503000037
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 Ayrton Bangolo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Simcha Weissman Do LLC
Same address
Internal Medicine
7600 RIVER RD
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1306650247 (862) 222-6276
Deepak Amin, M.D., LLC
1.7 mi
Internal Medicine
4522 KENNEDY BLVD
Union City, NJ 07087
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
NPI 1629219670 (201) 863-1797

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,139 services72 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
986 services32 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
340 services64 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
126 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07047 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.

CAMILLE ANGELA MARIANO PANGGAT
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 710-2762
DR. NAMRATA NARENDRAKUMAR NIKUM MD
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5000
MADELINE TCHACK
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5000
AMBULATORY CENTER FOR ENDOSCOPY, LLC
Clinic/Center (Ambulatory Surgical)
7600 RIVER RD, 4TH FLOOR
NORTH BERGEN, NJ 07047
Hudson County (201) 705-1080
NICOLE JORDAN M.D.
Internal Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5005
MR. HEE CHANG SUNG M.D.
Anesthesiology
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5172
OLIVIA SHANEE GRANT MD
Emergency Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5100
FARYAAL BOKHARI MD
Family Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5000

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 Ayrton Bangolo's NPI number?

The NPI number for Ayrton Bangolo is 1457988941. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Ayrton Bangolo located?

Ayrton Bangolo practices at 7600 River Rd, North Bergen, NJ 07047. The listed phone number is (201) 710-2756.

What is Ayrton Bangolo's specialty?

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

Is Ayrton Bangolo enrolled in Medicare?

Yes. Ayrton Bangolo 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 Ayrton Bangolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayrton Bangolo reassigns Medicare benefits to 2 organizations: Simcha Weissman Do LLC (North Bergen, NJ) and Deepak Amin, M.D., LLC (Union City, 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 Ayrton Bangolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ayrton Bangolo affiliated with any hospitals?

According to CMS data, Ayrton Bangolo is affiliated with Palisades Medical Center.

When was this NPI record last updated?

The NPPES record for Ayrton Bangolo was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.