Individual provider Active NPI

Chidubem Matthew Obegolu, MD

  • Psychiatry Physician
  • Freehold, NJ
National Provider Identifier
1205306693
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11559300 Issued in NJ
Practice address
901 W Main St
Freehold, NJ 07728-2549
Phone
(732) 431-2000
NPI assigned
Nov 28, 2018
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA11559300 NJ Primary

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2549

Mailing address

3036 Highway 35 Ste 320
Hazlet, NJ 07730-1505
Phone (817) 217-4412

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826004975 NJ Practitioner - Psychiatry 6305216466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freehold Psychiatric AssociatesGroup PAC ID 6406037324, 6 clinicians

Practice addresses (Care Compare)

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11559300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC General Practice CurrentSince Jul 31, 2025 Accepting new patients
Freehold Psychiatric Associates Psychiatry CurrentSince Jun 6, 2025 Accepting new patients
Stress Care of New Jersey, LLC General Practice CurrentSince Jul 31, 2025 Accepting new patients
Centrastate Medical Center, Inc Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1205306693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 HIGHWAY 35 STE 320",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301505",
            "telephone_number": "817-217-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282549",
            "telephone_number": "732-431-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEGOLU",
        "first_name": "CHIDUBEM",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11559300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.