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

Chika Miriam Mbolu, MD

Individual provider Internal Medicine Physician · NPI 1043950629

Chika Miriam Mbolu, MD is an Internal Medicine in Hawthorne, New York. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2022
Specialties on file
2
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

19 Bradhurst Ave
Hawthorne, NY 10532-2140
Phone: (914) 493-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Bay Ave, Montclair, NJ 07042-4837 — (973) 429-6196

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12648600 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043950629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESOctober 26, 2025
Certification dateOctober 26, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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