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

Peter M Bolo, MD

Individual provider Psychiatry Physician · NPI 1649284639

Peter M Bolo, MD is a Psychiatry in Summit, New Jersey. Graduated from Columbia University College of Physicians and Surgeons in 1985, 41 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
41
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NJ
In the registry since
2006
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

99 Beauvoir Ave
Summit, NJ 07902-3533
Phone: (908) 522-2226
Fax: (908) 522-5269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MA53194 (NJ)

Record details

NPI number1649284639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address99 Beauvoir Avenue, Summit, NJ 07902-3533

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1985 (41 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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