Active NPI
Elochukwu Adibe, D.M.D.
- Prosthodontics
- Monroe Township, NJ
National Provider Identifier
1083715734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22DI02314900
- Practice address
- 2 Research Way Ste 201
Monroe Township, NJ 08831-6820 - Phone
- (609) 395-9100
- Fax
- (609) 395-9101
- NPI assigned
- Sep 26, 2006
- Last updated
- Dec 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 051169 | NY | |
| Prosthodontics | 1223P0700X | DS036867 | PA | |
| Prosthodontics | 1223P0700X | 22DI02314900 | NJ | Primary |
Addresses
Primary practice location
2 Research Way Ste 201
Monroe Township, NJ 08831-6820
Mailing address
124 Summer Ridge Dr
Lansdale, PA 19446-6710
Phone (267) 263-4899
Other practice location 1
327 Township Line Rd
Elkins Park, PA 19027-2222
Phone (215) 663-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051169 | NY | MD | General Practice Dentistry |
| 22DI02314900 | NJ | MD | Prosthodontist |
| DS036867 | PA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teeth Whitening Center | Past | Accepting new patients | |
| Advanced Family Dental Care PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Elkins Park, PA
- NPI 1720216732
-
- Dental Clinic/Center
- Elkins Park, PA
- NPI 1053629220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1083715734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SUMMER RIDGE DR",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194466710",
"telephone_number": "267-263-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 RESEARCH WAY STE 201",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088316820",
"telephone_number": "609-395-9100",
"fax_number": "609-395-9101"
}
],
"practiceLocations": [
{
"address_1": "327 Township Line Rd",
"address_purpose": "LOCATION",
"city": "Elkins Park",
"state": "PA",
"postal_code": "190272222",
"country_code": "US",
"telephone_number": "215-663-1223",
"fax_number": "215-663-1299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADIBE",
"first_name": "ELOCHUKWU",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "051169",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS036867",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "22DI02314900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.