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BRYAN BOLANOSGONZALEZ
NPI 1689409054
Nurse Practitioner - Psychiatric/Mental Health in Paramus, NJ

Active since September 05, 2024PECOS Enrolled
16 ARCADIAN WAY STE C2, PARAMUS, NJ 07652(908) 271-8368 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 2, 2025, Jun 11, 2025, Sep 25, 2024 and 2 more (5 updates tracked since 2024).

About Bryan Bolanosgonzalez NPPES

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

BRYAN BOLANOSGONZALEZ (NPI 1689409054) is an individual psychiatric/mental health provider in Paramus, New Jersey, licensed in New Jersey (26NJ15345000) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689409054
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRYAN BOLANOSGONZALEZ
Location Address16 ARCADIAN WAY STE C2Paramus, NJ 07652-1291
Mailing Address429-4 State Route 31 SWashington, NJ 07882-4182
Phone(908) 271-8368
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 5, 2024
Last NPPES UpdateJune 29, 20265 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1689409054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15345000
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR19503300 (NJ)
16 ARCADIAN WAY STE C2, Paramus, NJ 07652
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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)

Bryan Bolanosgonzalez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345735858
PECOS Enrollment IDI20251222003854
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 07652 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.

Other Providers at the Same Location NPPES

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

EMPOWERED MENTAL HEALTH SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
16 ARCADIAN WAY STE C2
PARAMUS, NJ 07652
Bergen County (908) 456-6453

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 Bryan Bolanosgonzalez's NPI number?

The NPI number for Bryan Bolanosgonzalez is 1689409054. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Bryan Bolanosgonzalez located?

Bryan Bolanosgonzalez practices at 16 Arcadian Way Ste C2, Paramus, NJ 07652. The listed phone number is (908) 271-8368.

What is Bryan Bolanosgonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bryan Bolanosgonzalez enrolled in Medicare?

Yes. Bryan Bolanosgonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Bolanosgonzalez was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.