Individual provider Active NPI

Chudi Mgbako, DPM

  • Podiatrist
  • Millburn, NJ
National Provider Identifier
1952608945
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00307300 Issued in NJ
Practice address
90 Millburn Ave Ste 105
Millburn, NJ 07041-1933
Phone
(973) 200-7332
Fax
(833) 764-6154
NPI assigned
Feb 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00307300 NJ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00307300 NJ

Addresses

Primary practice location

90 Millburn Ave Ste 105
Millburn, NJ 07041-1933

Mailing address

90 Millburn Ave Ste 105
Millburn, NJ 07041-1933
Phone (973) 200-7332

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
I20110510000011 NJ Practitioner - Podiatry 5991981946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Millburn Ave
Suite 105
Millburn, NJ 07041-1933
Phone (973) 200-7332

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions1-10
Removal of nail tissue286
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Just Feet and Ankle Care, LLC Podiatrist CurrentSince Jan 14, 2026 Accepting new patients
Theatre Arts Physiotherapy, LLC PastSince Mar 1, 2026 Accepting new patients

Locations

90 Millburn Ave
Ste 105
Millburn, NJ 07041
Phone (973) 200-7332

Interoperability endpoints

  • Direct secure messaging: chudi.mgbako.1@11307.direct.athenahealth.com

Organizations & group practices 2

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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1952608945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 105",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-200-7332",
            "fax_number": "833-764-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 105",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-200-7332",
            "fax_number": "833-764-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGBAKO",
        "first_name": "CHUDI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00307300",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00307300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.