Active NPI
Henrietta Ifeoma Obidigbo, DPM
- Specialist
- Plainfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MD00296100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00296100 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zufall Health Center, Inc | Current | Accepting new patients | |
| Jersey Foot and Ankle Clinic, LLC | Current | Accepting new patients | |
| Zufall Health Center, Inc | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Paterson, NJ
- NPI 1982993119
-
- Federally Qualified Health Center (FQHC)
- Dover, NJ
- NPI 1548515091
-
- Community/Retail Pharmacy
- Dover, NJ
- NPI 1285324673
-
- Community Health Clinic/Center
- Dover, NJ
- NPI 1902990880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.