Individual provider Active NPI

David Obando, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mount Holly, NJ
National Provider Identifier
1932109063
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD066740L Issued in PA
Practice address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone
(609) 922-0116
NPI assigned
Jul 29, 2005
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD066740L PA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA06043400 NJ

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060-2038

Mailing address

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800

Other identifiers 2

IdentifierTypeStateIssuer
0809833000OtherNJBLUE CROSS BLUE SHIELD
7242603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040421001114 NJ Practitioner - Pathology 0840286373 Reassigns benefits to 5 organizations
I20150126001399 PA Practitioner - Pathology 0840286373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Pathology Consultants, PAGroup PAC ID 9638144983, 10 clinicians
Hunterdon Gastroenterology Associates, PAGroup PAC ID 1153395280, 11 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-3000

1100 Wescott Dr
Flemington, NJ 08822-4600
Phone 90878864481101

825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD066740LPAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology Consultants PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2004 Accepting new patients
Hunterdon Gastroenterology Associates, PA CurrentSince Jun 20, 2025 Accepting new patients
Center for Advanced Urology CurrentSince Dec 1, 2013 Accepting new patients
Gastroenterology Consultants of South Jersey PC CurrentSince May 1, 2018 Accepting new patients
Digestive Health and Nutrition Center, LLC CurrentSince Sep 16, 2015 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Mar 1, 2022 Accepting new patients
South Jersey Gastroenterology PA Past Accepting new patients
Bcgi Pathology Past Accepting new patients
Howard Slotoroff MD PA Past Accepting new patients
Virtua Medical Group, PA Family Medicine Past Accepting new patients
Summit Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1919 S Highland Ave
Ste 210A
Lombard, IL 60148

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

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

465 Cranbury Rd
Ste 102
East Brunswick, NJ 08816
Phone (732) 336-9878

1100 Wescott Dr
Ste 206
Flemington, NJ 08822
Phone (201) 534-6116

693 Main St
Ste A
Lumberton, NJ 08048
Phone (609) 261-8200

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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 4

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1932109063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD",
            "address_2": "STE 320",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103235",
            "telephone_number": "610-527-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-922-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANDO",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD066740L",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA06043400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0809833000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7242603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.