NDIDIAMAKA OBIKULU (APN) – Family Nurse Practitioner, NPI 1114784204

NDIDIAMAKA OBIKULU (APN) is a healthcare provider. based in Cedar grove, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ15019800 (NJ). The NPI Number for NDIDIAMAKA OBIKULU (APN) is 1114784204

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NDIDIAMAKA OBIKULU (APN)
NPI
1114784204
Phone
Not provided
Address
387 POMPTON AVE
Enumeration Date
5 March 2024
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2023 (3 years ago)
PAC ID
6507302502
Group Practice PAC ID
8527142439
Professional Enrollment ID
I20240726000403
Address ID
NJ070091801CE387XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for NDIDIAMAKA OBIKULU (APN)

  • 387 POMPTON AVE

    CEDAR GROVE, NJ 070091801

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Eisai Inc. ($145).

Total Amount

$209

General + Research + Ownership

Payments

6

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726000403INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527142439View full group profile

Reviews

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Frequently asked questions

Is NDIDIAMAKA OBIKULU (APN) listed with a National Provider Identifier?
Yes — NDIDIAMAKA OBIKULU (APN) has NPI 1114784204 on file in the registry.
Active or inactive — what applies to NDIDIAMAKA OBIKULU (APN)?
You should see NDIDIAMAKA OBIKULU (APN) as active in CMS-hosted NPPES data.
What clinical focus is listed for NDIDIAMAKA OBIKULU (APN)?
At a glance, NDIDIAMAKA OBIKULU (APN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NDIDIAMAKA OBIKULU (APN)?
Travel planning: use Cedar Grove, New Jersey as the reference point for NDIDIAMAKA OBIKULU (APN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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