Individual provider Active NPI

Dubem Fernandez Anumba, MD

  • Family Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1467033365
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA12258000 Issued in NJ
Practice address
1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone
(609) 581-9100
Fax
(609) 581-7588
NPI assigned
Apr 21, 2021
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA12258000 NJ Primary

Addresses

Primary practice location

1078 White Horse Ave
Hamilton, NJ 08610-1425

Mailing address

1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100

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
I20240718004905 NJ Practitioner - Family Practice 3375089980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mariam Maniya Internal Medicine PCGroup PAC ID 9830597210, 18 clinicians

Practice addresses (Care Compare)

1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12258000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Maniya Internal Medicine PC CurrentSince Jul 1, 2024 Accepting new patients
Allied Digestive Health, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

1078 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 581-1400

Organizations & group practices 2

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1467033365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101425",
            "telephone_number": "609-581-9100",
            "fax_number": "609-581-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101425",
            "telephone_number": "609-581-9100",
            "fax_number": "609-581-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUMBA",
        "first_name": "DUBEM",
        "middle_name": "FERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA12258000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.