Bolaji Olatoun Bolarinwa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00955200 Issued in NJ

Practice address

750 Route 73 S Ste 105a
Marlton, NJ 08053-4142

Phone

(856) 282-5566

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Remi LLC

  • Adult Mental Health Clinic/Center
  • Marlton, NJ
  • NPI 1689240483
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1104476381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BUTTONWOOD CT",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571468",
            "telephone_number": "856-237-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S STE 105A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534142",
            "telephone_number": "856-282-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLARINWA",
        "first_name": "BOLAJI",
        "middle_name": "OLATOUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00955200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bliss Physical Therapy and Pilates
• Jenna Bloss, CRNA
• BMK Dental LLC
• Beatrice Bock, LCSW
• Joshua Bodine, CCC-SLP
• Tracy Bonanato, RPH
• Christine M Bonaventura, LPC
• Sharnessa Bond
• Melba Patricia Bonelli, DMD
• Bruce Bonier, DO

• Psychiatric/Mental Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.