NPIMap

Organization Active NPI

Alliance OB GYN Consultants LLC

  • Obstetrics & Gynecology Physician
  • Delran, NJ
National Provider Identifier
1013061381
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ALLIANCE OB GYN CONSULTANTS LLC
Practice address
5045 Route 130
Suite I
Delran, NJ 08075-9707
Phone
(856) 764-7660
Fax
(856) 764-5723
NPI assigned
Jan 23, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chike W Obianwu, MD, FACOG, MBANPI 1902984909
Title
Medical Director
Phone
(856) 764-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

5045 Route 130
Suite I
Delran, NJ 08075-9707

Mailing address

5045 Route 130
Suite I
Delran, NJ 08075-9707
Phone (856) 764-7660

Other identifiers 1

IdentifierTypeStateIssuer
026468MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000474 NJ Part B Supplier - Clinic/Group Practice 8921088790 Receives reassigned benefits from 6 practitioners
Practice locations: Hainesport, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1013061381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 ROUTE 130",
            "address_2": "SUITE I",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-7660",
            "fax_number": "856-764-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 ROUTE 130",
            "address_2": "SUITE I",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-7660",
            "fax_number": "856-764-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE OB GYN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "OBIANWU",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-764-7660",
        "authorized_official_credential": "MD, FACOG, MBA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026468",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.