Leopold Jorge Bolona, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08702100 Issued in NJ

Practice address

590 Westfield Ave
Ste 4
Westfield, NJ 07090-3312

Phone

(908) 233-8065

Fax

(908) 233-8042

NPI assigned

May 22, 2008

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Embrace Psychiatric Wellness CenterGroup PAC ID 3375714033, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Embrace Psychiatric Wellness Center

  • Psychiatry Physician
  • Westfield, NJ
  • NPI 1366742868
  Medicare reassignment Care Compare group Authorized official
• Medical Healthcare Services P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1427342658
  NPD (past)
• Psychiatry and Psychotherapy Practice P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1548298508
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1700043049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WESTFIELD AVE",
            "address_2": "STE 4",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903312",
            "telephone_number": "908-233-8065",
            "fax_number": "908-233-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 WESTFIELD AVE",
            "address_2": "STE 4",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903312",
            "telephone_number": "908-233-8065",
            "fax_number": "908-233-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLONA",
        "first_name": "LEOPOLD",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08702100",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "252171-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher P Bober, LCSW
• Loryn Boccia-Leon
• Eric S Boden, PT, MPT
• Bodhi Mind Centers
• Christine A Boffa, MS, OTR/L
• Elizabeth Bongo, RD
• Edwin A Bonilla, PMHNP
• William Boulton Bonsall, D.C., D.A.C.B.S.P.
• Brianna Borga
• Susan Valdes Borja, M.D.

• Psychiatry Physician in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.