1104863299 NPI number — DR. AKBAR H OBARAY MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104863299 NPI number — DR. AKBAR H OBARAY MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

OBARAY

Provider First Name:

AKBAR

Provider Middle Name:

H

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1104863299

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/25/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1445 WHITEHORSE MERCERVILLE RD, STE 111

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

HAMILTON

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

08619-3834

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

609-815-7390

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

2069 KLOCKNER RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

HAMILTON

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

08690

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

609-586-0031

Provider Business Practice Location Address Fax Number:

609-586-0708

Provider Enumeration Date:

05/31/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RP1001X , with the licence number:  032627 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1044255 . This is a "MERCY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 222382352 . This is a "HORIZON BC/BS NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 82968 . This is a "AMERIGROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 005035 . This is a "US HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: F05668 . This is a "MET LIFE" identifier . This identifiers is of the category "OTHER".
• Identifier: 441292462 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 0070176000 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 005073 . This is a "PA BLUE SHIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3062309 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: 12991 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 222382352 . This is a "TAX ID" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: MES211 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 5035 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".