Active NPI
Obinna Efobi, M.D.
- Anesthesiology Physician
- Brooklyn, NY
National Provider Identifier
1851567630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA09415300
- Practice address
- 450 Clarkson Avenue Box 6
Brooklyn, NY 11203-2056 - Phone
- (718) 270-3977
- NPI assigned
- May 1, 2008
- Last updated
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 25MA09415300 | NJ | Primary |
Addresses
Primary practice location
450 Clarkson Avenue Box 6
Brooklyn, NY 11203-2056
Mailing address
389 Washington St
Apt 24H
Jersey City, NJ 07302-8964
Phone (347) 865-2440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09415300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Si Bayview Medical Group, PC | Single Specialty | Current | Accepting new patients |
Locations
966 50th St
Brooklyn, NY 11219
Phone (718) 435-1777
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Staten Island, NJ
- NPI 1518109800
NY, Single Specialty
-
- Anesthesiology Physician
- Belleville, NJ
- NPI 1770006306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1851567630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 WASHINGTON ST",
"address_2": "APT 24H",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073028964",
"telephone_number": "347-865-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVENUE BOX 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032056",
"telephone_number": "718-270-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFOBI",
"first_name": "OBINNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA09415300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.