OBINNAYA ODIGBOEGWU MD
NPI 1487097564
Student in an Organized Health Care Education/Training Program in Montclair, NJ

Active since April 09, 2013PECOS Enrolled
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6000 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Obinnaya Odigboegwu Md NPPES

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

OBINNAYA ODIGBOEGWU MD (NPI 1487097564) is an individual student in an organized health care education/training program in Montclair, New Jersey and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487097564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOBINNAYA ODIGBOEGWUCredential: MD
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address1 Bay AveMontclair, NJ 07042-4837 · (973) 429-6000
Sole ProprietorNo
Enumeration DateApril 9, 2013
Last NPPES UpdateJune 6, 2013
NPI 1487097564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BAY AVE, Montclair, NJ 07042

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Obinnaya Odigboegwu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042

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 Obinnaya Odigboegwu's NPI number?

The NPI number for Obinnaya Odigboegwu is 1487097564. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Obinnaya Odigboegwu located?

Obinnaya Odigboegwu practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6000.

What is Obinnaya Odigboegwu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Obinnaya Odigboegwu enrolled in Medicare?

Yes. Obinnaya Odigboegwu is registered in the Medicare PECOS enrollment system.

What insurance does Obinnaya Odigboegwu accept?

Health plans from Blue Cross and Blue Shield of Texas list Obinnaya Odigboegwu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Obinnaya Odigboegwu was last updated on June 6, 2013. 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.