Individual provider Active NPI

Benedict E Asiegbu, MD

  • Neonatal-Perinatal Medicine Physician
  • Pomona, NJ
National Provider Identifier
1669502035
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD431837 Issued in PA
Practice address
65 W Jimmie Leeds Rd
Chop Care Network @ Atlanticare
Pomona, NJ 08240-9102
Phone
(609) 652-1000
Fax
(302) 651-4945
NPI assigned
Mar 6, 2007
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 25MA08254900 NJ
Neonatal-Perinatal Medicine Physician 2080N0001X MD431837 PA Primary

Addresses

Primary practice location

65 W Jimmie Leeds Rd
Chop Care Network @ Atlanticare
Pomona, NJ 08240-9102

Mailing address

100 E Penn SQ
9TH Floor
Philadelphia, PA 19107-3323
Phone (267) 425-9234

Other practice location 1

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7000

Other identifiers 3

IdentifierTypeStateIssuer
0136549MedicaidNJ
1019782330002MedicaidPA
1019782330001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20071029000258 NJ Practitioner - Pediatric Medicine 6204923956 Reassigns benefits to 2 organizations
I20150723007794 PA Practitioner - Pediatric Medicine 6204923956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08254900NJMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Apr 30, 2022 Accepting new patients
Atlanticare Physician Group PA CurrentSince Apr 30, 2022 Accepting new patients
Childrens Health Care Associates, Inc Neonatal-Perinatal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Childrens Health Care Associates of New Jersey PC CurrentSince May 24, 2014 Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince May 24, 2014 Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Jul 1, 2015 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Locations

65 W Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 652-3400

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

1012 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 435-0086

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1669502035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PENN SQ",
            "address_2": "9TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073323",
            "telephone_number": "267-425-9234",
            "fax_number": "267-425-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "address_2": "CHOP CARE NETWORK @ ATLANTICARE",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-652-1000",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Plainsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361913",
            "country_code": "US",
            "telephone_number": "609-853-7000",
            "fax_number": "609-497-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASIEGBU",
        "first_name": "BENEDICT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA08254900",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD431837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136549",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019782330002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019782330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.