Isiaka A Bolarinwa, M.D

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MA072697 Issued in NJ

Practice address

822 Klemm Ave
Gloucester City, NJ 08030-1627

Phone

(856) 282-5566

Fax

(856) 396-9917

NPI assigned

May 15, 2006

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PHC Meadowwood, LLCGroup PAC ID 9335318823, 8 clinicians

St Remi LLCGroup PAC ID 0042456683, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Remi LLC

  • Psychiatry Physician
  • Gloucester City, NJ
  • NPI 1144583519
  Medicare reassignment Care Compare group NPD Authorized official
• PHC Meadowwood, LLC

  dba Meadowwood Behavioral Health System

  • Psychiatric Hospital
  • New Castle, DE
  • NPI 1528357357
  Medicare reassignment Care Compare group
• St Remi LLC

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

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1467403196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 KLEMM AVE",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301627",
            "telephone_number": "856-282-5566",
            "fax_number": "856-396-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KLEMM AVE",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301627",
            "telephone_number": "856-282-5566",
            "fax_number": "856-396-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLARINWA",
        "first_name": "ISIAKA",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA072697",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-073693-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD073693-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Space for US Counseling
• Folawewo Abiodun Ajayi, NP
• Saaniya Contractor Ajmeri, MD
• Amber Baughman
• Courtney Bohrer
• Akin Braimah
• Gina Marie Capaldo, MS, OTR/L
• City of Gloucester City
• CMC Dept of Medicine Group PA
• Community Chiropractic Center

• Child & Adolescent Psychiatry Physician in Gloucester City, NJ
• Providers in Gloucester City, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.