Provider Demographics
NPI:1104863299
Name:OBARAY, AKBAR H (MD)
Entity type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:H
Last Name:OBARAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 WHITEHORSE MERCERVILLE RD, STE 111
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3834
Mailing Address - Country:US
Mailing Address - Phone:609-815-7390
Mailing Address - Fax:
Practice Address - Street 1:2069 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-586-0031
Practice Address - Fax:609-586-0708
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ032627207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1044255OtherMERCY HEALTH PLAN
NJ222382352OtherHORIZON BC/BS NJ
NJ82968OtherAMERIGROUP
NJ005035OtherUS HEALTHCARE
F05668OtherMET LIFE
NJ441292462OtherRAIL ROAD MEDICARE
NJ0070176000OtherPERSONAL CHOICE
NJ005073OtherPA BLUE SHIELD
NJ3062309Medicaid
NJ12991OtherUNIVERSITY HEALTH PLAN
NJ222382352OtherTAX ID
NJMES211OtherOXFORD
NJ5035OtherAETNA
F05668OtherMET LIFE
NJ3062309Medicaid