Individual provider Active NPI

Obianuju Anastasia Ofoegbu, CRNP

  • Family Nurse Practitioner
  • Fairless Hills, PA
National Provider Identifier
1164933925
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00766500 Issued in NJ
Practice address
473 Stanford Rd
Fairless Hills, PA 19030-4024
Phone
(240) 271-4234
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00766500 NJ Primary

Addresses

Primary practice location

473 Stanford Rd
Fairless Hills, PA 19030-4024

Mailing address

473 Stanford Rd
Fairless Hills, PA 19030-4024
Phone (240) 271-4234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919003482 NJ Practitioner - Nurse Practitioner 6305221854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newpoint Healthcare Services LLCGroup PAC ID 4587049036, 2 clinicians

Practice addresses (Care Compare)

6 Colonial Lake Dr
Lawrenceville, NJ 08648-4126
Phone (609) 527-9438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newpoint Healthcare Services, LLC CurrentSince May 30, 2022 Accepting new patients

Locations

6 Colonial Lake Dr
Trenton, NJ 08648
Phone (609) 527-9438

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1164933925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 STANFORD RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304024",
            "telephone_number": "240-271-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 STANFORD RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304024",
            "telephone_number": "240-271-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOEGBU",
        "first_name": "OBIANUJU",
        "middle_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00766500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.