DR. OBUNIKE O EDOKWE (MD) – Family Medicine Physician, NPI 1306848080

DR. OBUNIKE O EDOKWE (MD) is a healthcare provider. based in Newark, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA05586100 (NJ). The NPI Number for DR. OBUNIKE O EDOKWE (MD) is 1306848080

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. OBUNIKE O EDOKWE (MD)
NPI
1306848080
Phone
(973) 268-1400
Address
495 N 13TH ST
Enumeration Date
12 August 2005
Last Update Date
31 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096331562
Graduation Year
1981 (45 years ago)
PAC ID
6608862248
Group Practice PAC ID
6406742592
Professional Enrollment ID
I20040421000476
Address ID
NJ086250500TR100XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for DR. OBUNIKE O EDOKWE (MD)

  • Columbus Hospital, 495, North 13th Street, Newark, Essex County, New Jersey, 07107, United States

    NEWARK, NJ 071071317

    Phone: (973) 268-1400

    Type: Location

  • 66 W GILBERT ST

    SUITE 100

    TINTON FALLS, NJ 077014918

    Phone: (721) 212-0060

    Fax: (732) 212-0061

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040421000476IEmergency MedicineNJTBD
I20070417000570IFamily PracticeNYTBD

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 07107)

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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: 6406742592View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineNJ
P S Y C H I A T R YKY
P S Y C H I A T R YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Family PracticeMD
-NJ
-NJ
Internal MedicinePA
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What unique ID ties claims to DR. OBUNIKE O EDOKWE (MD)?
NPI 1306848080 is assigned to DR. OBUNIKE O EDOKWE (MD) under the national enumeration system.
Is DR. OBUNIKE O EDOKWE (MD) active in the national directory?
DR. OBUNIKE O EDOKWE (MD)'s public NPI profile is in an active state.
Does DR. OBUNIKE O EDOKWE (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. OBUNIKE O EDOKWE (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. OBUNIKE O EDOKWE (MD)?
The page summarizes Newark, New Jersey for DR. OBUNIKE O EDOKWE (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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