Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ayrton Ilolo Bangolo, MD

Individual provider Internal Medicine Physician · NPI 1457988941

Ayrton Ilolo Bangolo, MD is an Internal Medicine in North Bergen, New Jersey. Qualified in 2016, 10 years ago. Practices with Deepak Amin, MD, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7600 River Rd
North Bergen, NJ 07047-6217
Phone: (201) 710-2756
Fax: (201) 758-2740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA11645000 (NJ)

Record details

NPI number1457988941
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Deepak Amin, M.D., Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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