Active NPI
David Obando, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD066740L
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 922-0116
- NPI assigned
- Jul 29, 2005
- Last updated
- Feb 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0809833000 | Other | NJ | BLUE CROSS BLUE SHIELD |
| 7242603 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD066740L | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology Consultants PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Hunterdon Gastroenterology Associates, PA | Current | Accepting new patients | |
| Center for Advanced Urology | Current | Accepting new patients | |
| Gastroenterology Consultants of South Jersey PC | Current | Accepting new patients | |
| Digestive Health and Nutrition Center, LLC | Current | Accepting new patients | |
| Bryn Mawr Medical Specialists Association | Current | 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
- https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Voorhees, NJ
- NPI 1245239805
-
- Specialist
- Flemington, NJ
- NPI 1285663864
-
- Multi-Specialty Clinic/Center
- Bryn Mawr, PA
- NPI 1841226099
-
- Urology Physician
- Salem, NJ
- NPI 1598720443
-
- Gastroenterology Physician
- East Brunswick, NJ
- NPI 1669521126
-
- Specialist
- Lumberton, NJ
- NPI 1609917525
-
- Urology Physician
- Pomona, NJ
- NPI 1467698803
-
- Anesthesiology Physician
- Voorhees, NJ
- NPI 1356514335
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Anatomic Pathology Physician
- Yardley, PA
- NPI 1437557329
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Virtua Mount Holly Hospital
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
-
dba Virtua Health & Wellness Center
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.