EDEDET AKPAN UDO, MD, PC
NPI 1073726907
Obstetrics & Gynecology in New York, NY

Active since May 07, 2007
2601 FREDRICK DOUGLASS BLVD, NEW YORK, NY 10030(212) 234-3433 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ededet Akpan Udo, Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEDET AKPAN UDO, MD, PC (NPI 1073726907) is a healthcare organization registered as an obstetrics & gynecology in New York, New York and active in the NPI registry since May 2007. The organization lists Ededet Akpan Udo, President, as its authorized official.

NPPES Registry Identity

NPI1073726907
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEDEDET AKPAN UDO, MD, PC
Location Address2601 FREDRICK DOUGLASS BLVDNew York, NY 10030
Mailing Address18 Shonnard PlYonkers, NY 10703-2411 · (914) 375-2226
Organization SubpartNo
Authorized OfficialEdedet Akpan UdoPresident · (914) 375-2226
Enumeration DateMay 7, 2007
Last NPPES UpdateNovember 29, 2012
✔ NPI 1073726907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 202225
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2601 FREDRICK DOUGLASS BLVD, New York, NY 10030

Other Identifiers 2

Medicare UPINH56174NY
Medicare ID-Type UnspecifiedWCW021NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ededet Akpan Udo, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20051013000777Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ededet Akpan Udo, MD, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1457466864
2597 FREDERICK DOUGLASS BLVD
New York, NY 10030
(212) 234-3433
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ededet Akpan Udo, MD, PC's NPI number?

The NPI number for Ededet Akpan Udo, MD, PC is 1073726907. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Ededet Akpan Udo, MD, PC located?

Ededet Akpan Udo, MD, PC is located at 2601 Fredrick Douglass Blvd, New York, NY 10030. The listed phone number is (212) 234-3433.

What is Ededet Akpan Udo, MD, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ededet Akpan Udo, MD, PC enrolled in Medicare?

Yes. Ededet Akpan Udo, MD, PC is registered in the Medicare PECOS enrollment system.

When is Ededet Akpan Udo, MD, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ededet Akpan Udo, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Ededet Akpan Udo, MD, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ededet Akpan Udo, MD, PC was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.