Individual provider Active NPI

Bolanle O Akinronbi, M.D

  • Psychiatry Physician
  • Cranford, NJ
National Provider Identifier
1912290602
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09686000 Issued in NJ
Practice address
11 Commerce Dr
Cranford, NJ 07016-3501
Phone
(908) 386-5517
Fax
(844) 355-4926
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 270905 NY
Psychiatry Physician 2084P0800X 25MA09686000 NJ Primary

Addresses

Primary practice location

11 Commerce Dr
Cranford, NJ 07016-3501

Mailing address

11 Commerce Dr
Cranford, NJ 07016-3501
Phone (908) 386-5517

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160129002422 NJ Practitioner - Psychiatry 1153624846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers New Jersey Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Brightmindsmd LLCGroup PAC ID 7810384807, 2 clinicians
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

1044 US Hwy 22
Suite 1
Mountainside, NJ 07092-2890
Phone (908) 386-5517

11 Commerce Dr
Lbby Floor
Cranford, NJ 07016-3501

201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 923-7455

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09686000NJMDPsychiatry Physician
270905NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Dec 20, 2015 Accepting new patients
Practice Associates Medical Group CurrentSince May 1, 2023 Accepting new patients
Brightmindsmd LLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients

Locations

11 Commerce Dr
Cranford, NJ 07016
Phone (908) 336-1187

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

1044 US Highway 22
Ste 1
Mountainside, NJ 07092
Phone (908) 386-5517

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: bakinronbi42991@epicdirect.rwjbh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1912290602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COMMERCE DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163501",
            "telephone_number": "908-386-5517",
            "fax_number": "844-355-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COMMERCE DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163501",
            "telephone_number": "908-386-5517",
            "fax_number": "844-355-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINRONBI",
        "first_name": "BOLANLE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "270905",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09686000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.