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Bolla Adeboye

Case Manager/Care Coordinator β€’ Williamstown, NJ

Active NPI 1598276602 Individual Practitioner Female Practitioner
Practice location in NPPES

916 Dartmoor Ave
Williamstown, NJ 080946314

Call 6468120434 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

916 Dartmoor Ave

Williamstown, NJ 080946314

Telephone 6468120434
Fax 8884230977

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Williamstown and New Jersey

3 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Williamstown, NJ (840 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-25
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 25, 2022

Registered at 916 DARTMOOR AVE, WILLIAMSTOWN, NJ 080946314 (Tel: 6468120434)

πŸ“
Updated Business Mailing Address November 25, 2022

Registered at 916 DARTMOOR AVE, WILLIAMSTOWN, NJ 080946314 (Tel: 6468120434)

βœ…
NPI Profile Active October 16, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 16, 2017

Registered at 1019 DARTMOOR AVE, WILLIAMSTOWN, NJ 080946311 (Tel: 6468120434)

πŸ“
Business Mailing Address (Initial Record) October 16, 2017

Registered at 1019 DARTMOOR AVE, WILLIAMSTOWN, NJ 080946311 (Tel: 6468120434)

πŸ‘€
Provider Name / Credentials (Initial Record) October 16, 2017

Recorded as BOLLA ADEBOYE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2017

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration October 16, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598276602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2017
Last Update: November 25, 2022
Sole Proprietor: Yes

Mailing Address

916 Dartmoor Ave

Williamstown, NJ 080946314

Phone: 6468120434

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.