1. Home
  2. Directory
  3. New Jersey
  4. East Orange
  5. Nurse Practitioner
  6. NPI Profile

BOLA LADEJI-KUKU
NPI 1639015340
Nurse Practitioner - Family in East Orange, NJ

Active since April 25, 2026PECOS EnrolledAccepts Medicare Assignment
79 STOCKTON PL, EAST ORANGE, NJ 07017(201) 301-4388 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Apr 25, 2026 (2 updates tracked since 2026).

About Bola Ladeji-kuku NPPES

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

BOLA LADEJI-KUKU (NPI 1639015340) is an individual family provider in East Orange, New Jersey, licensed in New Jersey (26NR12589900) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639015340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBOLA LADEJI-KUKU
Location Address79 STOCKTON PLEast Orange, NJ 07017-5208
Mailing Address79 Stockton PlEast Orange, NJ 07017-5208 · (201) 301-4388
Phone(201) 301-4388
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 25, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1639015340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NR12589900
Also ListedNurse PractitionerTaxonomy 363L00000X · License F359689 (NY)
79 STOCKTON PL, East Orange, NJ 07017
Open in Google Maps ↗

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

Bola Ladeji-kuku 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 ID9638636012
PECOS Enrollment IDI20260805002713
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 Reassignment

Medicare enrollment records show Bola Ladeji-kuku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hdc Care Solutions, LLC
176 mi
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, New Jersey enrollment
  • 51 clinicians in this Medicare group
NPI 1033861349 (888) 964-6681

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 07017 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.

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 Bola Ladeji-kuku's NPI number?

The NPI number for Bola Ladeji-kuku is 1639015340. It was assigned to this individual provider in the NPPES registry on April 25, 2026.

Where is Bola Ladeji-kuku located?

Bola Ladeji-kuku practices at 79 Stockton Pl, East Orange, NJ 07017. The listed phone number is (201) 301-4388.

What is Bola Ladeji-kuku's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bola Ladeji-kuku enrolled in Medicare?

Yes. Bola Ladeji-kuku 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 Bola Ladeji-kuku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bola Ladeji-kuku reassigns Medicare benefits to Hdc Care Solutions, LLC (Framingham, MA). 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 Bola Ladeji-kuku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bola Ladeji-kuku was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.