Individual provider Active NPI

Adaora Ngozi Udoh, MD

  • Obstetrics & Gynecology Physician
  • Moorestown, NJ
National Provider Identifier
1225152283
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08320400 Issued in NJ
Practice address
401 Young Ave Ste 325
Moorestown, NJ 08057
Phone
(856) 291-8865
Fax
(856) 291-8880
NPI assigned
Mar 16, 2007
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08320400 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 325
Moorestown, NJ 08057

Mailing address

2000 Crawford PL Ste 200
Mount Laurel, NJ 08054-3954
Phone (856) 355-0340

Other practice location 1

1636 Route 38
Lumberton, NJ 08048-2900
Phone (609) 261-7023

Other practice location 2

101 Burrs Rd Ste A&b
Westampton, NJ 08060-5517
Phone (609) 261-0240

Other practice location 3

3242 Route 206 Ste 1
Bordentown, NJ 08505-4517
Phone (609) 444-5505

Other identifiers 1

IdentifierTypeStateIssuer
25MA08320400OtherNJMEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address audoh13911@directvirtua.org
Direct Messaging Address audoh13911@directvirtua.org

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
I20080701000121 NJ Practitioner - Obstetrics/Gynecology 0941372395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Oct 1, 2011 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2011 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology Past Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

3242 US Highway 206
Ste 1
Bordentown, NJ 08505
Phone (609) 444-5505

1636 Route 38
Lumberton, NJ 08048
Phone (609) 261-7023

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

401 Young Ave
Ste 325
Moorestown, NJ 08057
Phone (800) 346-7834

101 Burrs Rd
Ste Ab
Westampton, NJ 08060
Phone (609) 261-0240

Organizations & group practices 5

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 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1225152283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD PL STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543954",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 325",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-291-8865",
            "fax_number": "856-291-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 Route 38",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "080482900",
            "country_code": "US",
            "telephone_number": "609-261-7023",
            "fax_number": "609-914-8471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Burrs Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080605517",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "fax_number": "856-291-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3242 Route 206 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085054517",
            "country_code": "US",
            "telephone_number": "609-444-5505",
            "fax_number": "609-444-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOH",
        "first_name": "ADAORA",
        "middle_name": "NGOZI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08320400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA08320400",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audoh13911@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 325",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audoh13911@directvirtua.org",
            "affiliation": "N",
            "address_1": "3242 Route 206 Ste 1",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085054517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.