AMBROSE MGBAKO (MD) – Psychiatry Physician, NPI 1629045323
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,050 PSYCHIATRY in NJ
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Provider Addresses for AMBROSE MGBAKO (MD)
PO BOX 23831
NEWARK, NJ 071890001
Phone: (973) 971-5595
Type: Mailing
Mountainside Hospital, 1, Bay Avenue, Glen Ridge, Essex County, New Jersey, 07042, United States
MONTCLAIR, NJ 070424837
Phone: (973) 971-5595
Type: Location
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.
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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: 2004-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040206000497 | I | Psychiatry | NJ | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 144 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 92 | 17 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 14 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 18 | 15 | $0 |
Insurance plans in this area (ZIP 07189)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NJ | 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | NJ | |
| Nurse Practitioner | NJ | |
| P S Y C H I A T R Y | NJ | |
| Thoracic Surgery, General Surgery | NJ | |
| Nurse Practitioner | NJ | |
| Diagnostic Radiology | NY | |
| Internal Medicine | MA |
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