Individual provider Active NPI

Primabel Gina Obias, M.D.

  • Specialist
  • Somerset, NJ
National Provider Identifier
1225059579
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06772000 Issued in NJ
Practice address
7 Cedar Grove Lane
Suite 31
Somerset, NJ 08873
Phone
(732) 873-1400
Fax
(732) 960-3444
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA67720 NJ
Specialist 174400000X 25MA06772000 NJ Primary

Addresses

Primary practice location

7 Cedar Grove Lane
Suite 31
Somerset, NJ 08873

Mailing address

7 Cedar Grove Lane
Suite 31
Somerset, NJ 08873
Phone (732) 873-1400

Other identifiers 1

IdentifierTypeStateIssuer
7767005MedicaidNJ

Other names 1

  • Gina V Obias Other name

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
I20120410000253 NJ Practitioner - Nephrology 2466613955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Renal and Hypertension Group, PCGroup PAC ID 9032265293, 4 clinicians

Practice addresses (Care Compare)

7 Cedar Grove LN
Suite 31
Somerset, NJ 08873-1331
Phone (732) 873-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06772000NJMDSpecialist
MA67720NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Renal & Hypertension Group, PC CurrentSince May 28, 2014 Accepting new patients

Locations

7 Cedar Grove Ln
Ste 31
Somerset, NJ 08873
Phone (732) 469-6005

Interoperability endpoints

  • Direct secure messaging: primabel.obias@direct.davitaphysiciansolutions.com
  • Direct secure messaging: pobias59211@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 6

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1225059579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LANE",
            "address_2": "SUITE 31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-873-1400",
            "fax_number": "732-960-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LANE",
            "address_2": "SUITE 31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-873-1400",
            "fax_number": "732-960-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIAS",
        "first_name": "PRIMABEL",
        "middle_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA67720",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06772000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7767005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "OBIAS",
            "middle_name": "V",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.