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

Active since April 25, 2026PECOS Enrolled
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: August 23, 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.

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
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bola Ladeji-kuku 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.

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 enrollment system.

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 3 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.