Individual provider Active NPI

Henrietta Ifeoma Obidigbo, DPM

  • Specialist
  • Plainfield, NJ
National Provider Identifier
1861669749
Registry record updated May 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MD00296100 Issued in NJ
Practice address
944 Cushing PL
Plainfield, NJ 07062-2202
Phone
(973) 216-9071
NPI assigned
May 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MD00296100 NJ Primary

Addresses

Primary practice location

944 Cushing PL
Plainfield, NJ 07062-2202

Mailing address

944 Cushing PL
Plainfield, NJ 07062-2202
Phone (973) 216-9071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081031000274 NJ Practitioner - Podiatry 7810056132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Zufall Health Center, IncGroup PAC ID 2365448461, 45 clinicians

Practice addresses (Care Compare)

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-9100

4 Atno Ave
Morristown, NJ 07960-3802
Phone (973) 267-0002

515 Iron Bridge Rd
Suite 4
Freehold, NJ 07728-5300
Phone (732) 252-5300

71 4TH St
Somerville, NJ 08876-3235
Phone (908) 526-2335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00296100NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Jersey Foot and Ankle Clinic, LLC CurrentSince Apr 1, 2011 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center,Inc Past Accepting new patients

Locations

500 N Bridge St
Bridgewater, NJ 08807
Phone (908) 253-3122

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

18 W Blackwell St
Dover, NJ 07801
Phone (973) 328-3344

17 S Warren St
#0
Dover, NJ 07801

515 Iron Bridge Rd
Ste 4
Freehold, NJ 07728
Phone (732) 252-5300

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

71 4th St
Somerville, NJ 08876
Phone 9085262335 ext. 113

95 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-2266

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210377600000",
    "number": "1861669749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 CUSHING PL",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070622202",
            "telephone_number": "973-216-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 CUSHING PL",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070622202",
            "telephone_number": "973-216-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIDIGBO",
        "first_name": "HENRIETTA",
        "middle_name": "IFEOMA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2008-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MD00296100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.