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: July 26, 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
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

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

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.

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.

Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Clinic/Center (Ambulatory Surgical)
7600 RIVER RD, 4TH FLOOR
NORTH BERGEN, NJ 07047
Internal Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Anesthesiology
7600 RIVER RD
NORTH BERGEN, NJ 07047
Emergency Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Family Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047

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.

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 with the weekly NPPES data releases published by CMS.