Alliance Medical Center
Organization Active NPI Obstetrics & Gynecology Physician · Lumerton Township, NJ
NPI 1497531032 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1497531032
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ALLIANCE MEDICAL CENTER
- Practice address
- 150 Mt Holly Bybass
Lumerton Township, NJ 08048 - Phone
- (732) 300-9993
- NPI assigned
- Sep 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Chike Obianwu, MD
- Title
- Medical Director
- Phone
- (609) 744-4793
Practitioners 1
-
Chike W Obianwu, MD,MBA,FACOG,FACS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260605002083 | NJ | Part B Supplier - Clinic/Group Practice | 1850862293 |
Receives reassigned benefits from 1 practitioner Practice locations: Lumberton, NJ |
National Provider Directory
Locations
150 Mount Holly by Pass
Lumberton Township, NJ 08048
Phone (732) 300-9993
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
150 Mt Holly Bybass
Lumerton Township, NJ 08048
Mailing address
12 Fox Hill Dr
Tabernacle, NJ 08088-9034
Phone (732) 300-9993
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.