Bolanle Ahazie, PMHNP (APN) is a
Nurse Practitioner - Psychiatric/mental Health based in Port Reading, New Jersey. Bolanle Ahazie is licensed to practice in New Jersey (license number 26NJ01106700) and her current practice location is
50 Henry St, Port Reading, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 896-1131.
NPI number for Bolanle Ahazie is 1346831716 and her current mailing address is 50 Henry St, Port Reading, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346831716.
Provider's Profile
Full Name | Bolanle Ahazie |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 50 Henry St, Port Reading, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346831716
- Provider Enumeration Date: 01/28/2021
- Last Update Date: 01/28/2021
Medical Identifiers
Medical identifiers for Bolanle Ahazie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346831716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01106700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bolanle Ahazie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bolanle Ahazie, PMHNP (APN) 50 Henry St, Port Reading, NJ 07064-1016 Ph: (732) 896-1131 | Bolanle Ahazie, PMHNP (APN) 50 Henry St, Port Reading, NJ 07064-1016 Ph: (732) 896-1131 |
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