Individual provider Active NPI

Elizabeth Obeng, NP

  • Family Nurse Practitioner
  • Elmwood Park, NJ
National Provider Identifier
1699512574
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15060200 Issued in NJ
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

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NR18347400NJMDRegistered Nurse
C-APN.0106196-C-NPCOMDFamily Nurse Practitioner
LG-0013765DEMDFamily Nurse Practitioner
TPAN4277FLMDFamily Nurse Practitioner
A189620IAMDFamily Nurse Practitioner
53-85405-052KSMDFamily Nurse Practitioner
116727NEMDFamily Nurse Practitioner
117049-23NHMDFamily Nurse Practitioner
26NJ15060200NJMDFamily Nurse Practitioner
41347TNMDFamily Nurse Practitioner
14272874-4405UTMDFamily Nurse Practitioner
101.0138908TELEVTMDFamily Nurse Practitioner
ARNP.AP.70108508-NPWAMDFamily Nurse Practitioner
125428WVMDFamily Nurse Practitioner
58668WYMDFamily 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.

Verify at the official NPI Registry.