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

Bryan Bolanosgonzalez

Individual provider Registered Nurse · NPI 1689409054

Bryan Bolanosgonzalez is a Nurse Practitioner in Paramus, New Jersey. Qualified in 2023, 3 years ago. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

16 Arcadian Way Ste C2
Paramus, NJ 07652-1291
Phone: (908) 271-8368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15345000 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR19503300 (NJ)

Record details

NPI number1689409054
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Paramus