Manfred Kanu Obi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08328300 Issued in NJ

Practice address

1235 Morris Ave Ste 1
Union, NJ 07083-3344

Phone

(908) 258-7759

Fax

(908) 469-2135

NPI assigned

Dec 3, 2007

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Onwuaso Kanu Manfred Obi Former name

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

Specialty

Psychiatry

Education

Rutgers New Jersey Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Access Psychiatric and Behavioral Services.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Union, NJ
  • NPI 1992941561
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1467634360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072055087",
            "telephone_number": "973-951-0653",
            "fax_number": "908-469-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MORRIS AVE STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833344",
            "telephone_number": "908-258-7759",
            "fax_number": "908-469-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "MANFRED",
        "middle_name": "KANU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08328300",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60 251698",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "60 251698",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "25MA08328300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONWUASO",
            "last_name": "OBI",
            "middle_name": "KANU MANFRED",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew V O'Connor
• Jennifer O'Connor
• Oasis Orthopedic Pain and Wellness of Union, LLC
• Aizeyosabo F Obamedo, OTR/L
• Kevin Obi
• Raimundo L Obregon, M.D.
• Oluwatomiwo Odefemi
• Oertel Orthopedics Inc.
• Bertha Ofori Brown
• Prisca Ugochi Ogbonnaya, APN

• Psychiatry Physician in Union, NJ
• Providers in Union, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.