Individual provider Active NPI

Chike W Obianwu, MD,MBA,FACOG,FACS

  • Obstetrics & Gynecology Physician
  • Delran, NJ
National Provider Identifier
1902984909
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA05844600 Issued in NJ
Practice address
5045 Route 130
Suite I
Delran, NJ 08075-9707
Phone
(856) 764-7660
Fax
(856) 764-5723
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA05844600 NJ Primary

Addresses

Primary practice location

5045 Route 130
Suite I
Delran, NJ 08075-9707

Mailing address

12 Foxhill Dr
Southampton, NJ 08088
Phone (609) 268-7243

Other identifiers 1

IdentifierTypeStateIssuer
5335507MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000379 NJ Practitioner - Obstetrics/Gynecology 8527048305 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance OB GYN Consultants LLCGroup PAC ID 8921088790, 3 clinicians

Practice addresses (Care Compare)

412 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 784-8410

651 High St
Burlington City, NJ 08016-2737
Phone (609) 386-0775

860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05844600NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance OB GYN Consultants LLC Obstetrics & Gynecology CurrentSince Oct 14, 2003 Accepting new patients
Alliance Medical Center Obstetrics & Gynecology CurrentSince Sep 10, 2023 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jan 19, 2011 Accepting new patients
Southern Jersey Family Medical Centers Inc CurrentSince Jan 19, 2011 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Jan 9, 2025 Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients
Alliance Surgery Center PastSince Dec 22, 2015 Accepting new patients
Integrity Anesthesia Group, PC Past Accepting new patients

Locations

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060

5045 Route 130
Ste I
Delran, NJ 08075
Phone (856) 764-7660

412 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 784-8410

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

150 Mount Holly by Pass
Lumberton Township, NJ 08048
Phone (732) 300-9993

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: chike.obianwu@nj005.digichart.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902984909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FOXHILL DR",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "08088",
            "telephone_number": "609-268-7243",
            "fax_number": "856-764-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 ROUTE 130",
            "address_2": "SUITE I",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-7660",
            "fax_number": "856-764-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIANWU",
        "first_name": "CHIKE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD,MBA,FACOG,FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05844600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5335507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.