Active NPI
Elizabeth Obeng, NP
- Family Nurse Practitioner
- Elmwood Park, NJ
National Provider Identifier
1699512574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15060200
- Practice address
- 205 Van Riper Ave
Elmwood Park, NJ 07407-2611 - Phone
- (862) 239-0277
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15060200 | NJ | Primary |
| Family Nurse Practitioner | 363LF0000X | 53-85405-052 | KS | |
| Family Nurse Practitioner | 363LF0000X | 117049-23 | NH | |
| Family Nurse Practitioner | 363LF0000X | 125428 | WV | |
| Family Nurse Practitioner | 363LF0000X | 58668 | WY | |
| Family Nurse Practitioner | 363LF0000X | TPAN4277 | FL | |
| Family Nurse Practitioner | 363LF0000X | 116727 | NE | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0106196-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 14272874-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 41347 | TN | |
| Registered Nurse | 163W00000X | 26NR18347400 | NJ | |
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70108508-NP | WA | |
| Family Nurse Practitioner | 363LF0000X | A189620 | IA | |
| Family Nurse Practitioner | 363LF0000X | 101.0138908TELE | VT | |
| Family Nurse Practitioner | 363LF0000X | LG-0013765 | DE |
Addresses
Primary practice location
205 Van Riper Ave
Elmwood Park, NJ 07407-2611
Mailing address
205 Van Riper Ave
Elmwood Park, NJ 07407-2611
Phone (862) 239-0277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18347400 | NJ | MD | Registered Nurse |
| C-APN.0106196-C-NP | CO | MD | Family Nurse Practitioner |
| LG-0013765 | DE | MD | Family Nurse Practitioner |
| TPAN4277 | FL | MD | Family Nurse Practitioner |
| A189620 | IA | MD | Family Nurse Practitioner |
| 53-85405-052 | KS | MD | Family Nurse Practitioner |
| 116727 | NE | MD | Family Nurse Practitioner |
| 117049-23 | NH | MD | Family Nurse Practitioner |
| 26NJ15060200 | NJ | MD | Family Nurse Practitioner |
| 41347 | TN | MD | Family Nurse Practitioner |
| 14272874-4405 | UT | MD | Family Nurse Practitioner |
| 101.0138908TELE | VT | MD | Family Nurse Practitioner |
| ARNP.AP.70108508-NP | WA | MD | Family Nurse Practitioner |
| 125428 | WV | MD | Family Nurse Practitioner |
| 58668 | WY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1699512574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 VAN RIPER AVE",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074072611",
"telephone_number": "862-239-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 VAN RIPER AVE",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074072611",
"telephone_number": "862-239-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBENG",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15060200",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-85405-052",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "117049-23",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "125428",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "58668",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "TPAN4277",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "116727",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0106196-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "14272874-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "41347",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18347400",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "ARNP.AP.70108508-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A189620",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101.0138908TELE",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0013765",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.