PROVIDENCE MEDICAL CENTER
NPI 1962567354
Family Medicine in North Plainfield, NJ

Active since December 26, 2006
25 CRAIG PL, NORTH PLAINFIELD, NJ 07060(908) 791-9993 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Providence Medical Center NPPES

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

PROVIDENCE MEDICAL CENTER (NPI 1962567354) is a healthcare organization registered as a family medicine in North Plainfield, New Jersey and active in the NPI registry since December 2006. The organization lists Omobola A Oji, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1962567354
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE MEDICAL CENTER
Location Address25 CRAIG PLNorth Plainfield, NJ 07060-4777
Mailing Address25 Craig PlNorth Plainfield, NJ 07060-4777 · (908) 791-9993
Organization SubpartNo
Authorized OfficialOmobola A OjiMedical Director · (908) 791-9993
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962567354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA068918
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25 CRAIG PL, North Plainfield, NJ 07060

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Providence Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1184491102
25 CRAIG PL
North Plainfield, NJ 07060
(908) 791-9993
✔ PECOSSame address
Family Practice
NPI 1194880583
25 CRAIG PL
North Plainfield, NJ 07060
(908) 791-9993
✔ 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 Providence Medical Center's NPI number?

The NPI number for Providence Medical Center is 1962567354. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Providence Medical Center located?

Providence Medical Center is located at 25 Craig Pl, North Plainfield, NJ 07060. The listed phone number is (908) 791-9993.

What is Providence Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Providence Medical Center enrolled in Medicare?

Yes. Providence Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Providence Medical Center, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Medical Center accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Providence Medical Center 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 Providence Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.