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DR. OLUBUNMI ABIYE BOLAJI M.D.
NPI 1619100633
Internal Medicine - Hospice and Palliative Medicine in Commack, NY

Active since August 25, 2009PECOS Enrolled
6080 JERICHO TPKE STE 205, COMMACK, NY 11725(631) 486-4834(631) 486-5029 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2023, Jul 13, 2022, Mar 1, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Olubunmi Abiye Bolaji M.d. NPPES

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

DR. OLUBUNMI ABIYE BOLAJI M.D. (NPI 1619100633) is an individual hospice and palliative medicine provider in Commack, New York, licensed in New York (254613) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in South Ozone Park.

NPPES Registry Identity

NPI1619100633
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameDR. OLUBUNMI ABIYE BOLAJICredential: M.D.
Location Address6080 JERICHO TPKE STE 205Commack, NY 11725-2808
Mailing Address6080 Jericho Tpke Ste 205Commack, NY 11725-2808 · (631) 486-4834 · Fax (631) 486-5029
Phone(631) 486-4834
Fax(631) 486-5029
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 25, 2009
Last NPPES UpdateMay 2, 20236 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1619100633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in NY · 254613
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
6080 JERICHO TPKE STE 205, Commack, NY 11725
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Secondary Practice Location 1

Location 113124 Rockaway BlvdSouth Ozone Park, NY 11420-2932 · Phone (718) 322-7583

Other Identifiers 1

Medicaid03203005NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olubunmi Abiye Bolaji M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325170574
PECOS Enrollment IDI20100723000178
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

4

Medicare enrollment records show Olubunmi Bolaji reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primerose Medical P.C.
14 mi
Primary Care
11 BENCH LN
Levittown, NY 11756
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Primerose Medical PC
NPI 1699103721 (718) 795-8272
Cogent Medical Care PC
18 mi
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
NPI 1912941238 (631) 687-4131
New York General Medical Services PC
35 mi
Hospitalist
1060 AMSTERDAM AVE
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 179 clinicians in this Medicare group
NPI 1700315538 (865) 693-1000
Nv Pacs 2 LLC
2,278 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, New York enrollment
  • 178 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
182 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
178 services91 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.
65 services65 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.
48 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services28 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

COMPREHENSIVE ISLAND MEDICAL CARE LLC
Internal Medicine
6080 JERICHO TPKE STE 205
COMMACK, NY 11725
Suffolk County (631) 486-4834

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 Olubunmi Bolaji's NPI number?

The NPI number for Olubunmi Bolaji is 1619100633. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Olubunmi Bolaji located?

Olubunmi Bolaji practices at 6080 Jericho Tpke Ste 205, Commack, NY 11725. The listed phone number is (631) 486-4834.

What is Olubunmi Bolaji's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Olubunmi Bolaji enrolled in Medicare?

Yes. Olubunmi Bolaji is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olubunmi Bolaji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olubunmi Bolaji reassigns Medicare benefits to 4 organizations: Primerose Medical P.C. (Levittown, NY), Cogent Medical Care PC (East Patchogue, NY), New York General Medical Services PC (New York, NY) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Olubunmi Bolaji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Olubunmi Bolaji affiliated with any hospitals?

According to CMS data, Olubunmi Bolaji is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Olubunmi Bolaji was last updated on May 2, 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.