Individual provider Active NPI

Tobi M Ogundare, M.D

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1376906222
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10576800 Issued in NJ
Practice address
201 Lyons Ave
Newark, NJ 07112-2027
Phone
(973) 926-7425
Fax
(973) 765-2301
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10576800 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190730001436 NJ Practitioner - Internal Medicine 3678809597 Reassigns benefits to 8 organizations
I20220412002674 NY Practitioner - Internal Medicine 3678809597

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
North Bergen HospitalistsGroup PAC ID 6002107976, 11 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

470 Prospect Ave
West Orange, NJ 07052-4106
Phone (917) 743-7746

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (732) 936-6447

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Premier Medical PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Passaic Hospitalist Services, LLC CurrentSince Oct 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
North Bergen Hospitalists CurrentSince Nov 28, 2023 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
St. Joseph'S Healthcare, Inc. Internal Medicine CurrentSince Jul 6, 2021 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Nov 30, 2020 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 9, 2019 Accepting new patients
Valley Health Medical Center LLC Internal Medicine CurrentSince Jun 24, 2025 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated CurrentSince Apr 1, 2022 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

703 Main St
#P
Paterson, NJ 07503

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

470 Prospect Ave
Ste 105
West Orange, NJ 07052
Phone (908) 994-2212

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

Interoperability endpoints

  • Direct secure messaging: tobi.ogundare@1123126865428484.direct.elationemr.com

Organizations & group practices 12

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 3

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1376906222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7425",
            "fax_number": "973-765-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDARE",
        "first_name": "TOBI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10576800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.