Individual provider Active NPI

Ndidiamaka Onwubalili, M.D.

  • Reproductive Endocrinology Physician
  • Millburn, NJ
National Provider Identifier
1851596696
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
25MA08394600 Issued in NJ
Practice address
89 Millburn Ave
Millburn, NJ 07041-1946
Phone
(973) 761-5600
Fax
(973) 761-5100
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 25MA08394600 NJ Primary

Addresses

Primary practice location

89 Millburn Ave
Millburn, NJ 07041-1946

Mailing address

89 Millburn Ave
Millburn, NJ 07041-1946
Phone (973) 761-5600

Other identifiers 1

IdentifierTypeStateIssuer
22-1965397OtherNJDIAMOND INSTITUTE FOR INFERTILITY AND MENOPAUSE

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08394600NJMDReproductive Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1851596696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411946",
            "telephone_number": "973-761-5600",
            "fax_number": "973-761-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411946",
            "telephone_number": "973-761-5600",
            "fax_number": "973-761-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUBALILI",
        "first_name": "NDIDIAMAKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA08394600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIAMOND INSTITUTE FOR INFERTILITY AND MENOPAUSE",
            "identifier": "22-1965397",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.