Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376646364 Individual Practitioner Female Practitioner

Dr. Bolanle A Akingboye , DO

Pediatrics • Montclair, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Bolanle Akingboye, DO is a registered healthcare professional specializing in Pediatrics in Montclair, NJ. Practice services are available at 1 SEYMOUR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Seymour St

Montclair, NJ 070423771

Telephone 9737446939
Fax 9737440365
Associated Practice Facility / Clinic
🏢 Summit Medical Group Pa Facility NPI 1770202350

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Montclair, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Montclair, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MB08107100

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0124567 (NJ)
Commercial Insurance / Payer ID Cds
D08943400 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Pratika Mikkilineni , MD

Pediatrics - Adolescent Medicine

NPI 1053040162

Doctor of Medicine (M.D.)

NPI 1417362021

Doctor of Medicine (M.D.)

NPI 1952832636

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 31, 2023

Registered at 1 SEYMOUR ST, MONTCLAIR, NJ 070423771 (Tel: 9737446939)

📍
Updated Business Mailing Address January 31, 2023

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9737446939)

NPI Profile Active December 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2007

Registered at 1601 HADDON AVE, CAMDEN, NJ 081033109 (Tel: 8567573700)

📍
Updated Business Mailing Address December 13, 2007

Registered at 500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 080351702 (Tel: 8567969207)

👤
Provider Name / Credentials Updated December 13, 2007

Recorded as BOLANLE AKINGBOYE, D. O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2007

Pediatrics (License #25MB08107100 in NJ)

🟢
Initial NPI Registration & Enumeration September 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376646364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: April 21, 2023
Sole Proprietor: No

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9737446939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.