Active NPIIndividual providerSole proprietor

Dr. Modupe Agunbiade, DPM

Podiatrist, Foot & Ankle Surgery in East Orange, New Jersey

NPI Number1528443033
Practice location
310 Central Ave Ste 303, East Orange, NJ 07018-2838
Fax
201-228-1689
Last updated
October 20, 2026

Modupe Agunbiade is a Podiatrist, Foot & Ankle Surgery based in East Orange, NJ. Modupe Agunbiade practices in East Orange, NJ and has the professional credentials of DPM. The NPI Number for Modupe Agunbiade is 1528443033 and holds a License No. N006878-01 (NY). The current practice location address for Modupe Agunbiade is 310 Central Ave Ste 303, East Orange, NJ 07018-2838 and can be reached out via phone at 973-337-2893 and via fax at 201-228-1689.

Provider Profile Details

NPI Number
1528443033
Provider Name
Modupe Agunbiade
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
310 Central Ave Ste 303, East Orange, NJ 07018-2838
Phone Number
973-337-2893
Fax Number
201-228-1689
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
July 26, 2015
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Central Ave Ste 303
East Orange, NJ 07018-2838
Zip
07018-2838
Phone Number
973-337-2893
Fax Number
201-228-1689
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
310 Central Ave Ste 303
East Orange, NJ 07018-2838
City
East Orange
State
NJ
Zip
07018-2838
Phone Number
973-337-2893
Fax Number
201-228-1689

License Information

License Number (1)
N006878-01
License State (1)
NY
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
License Number (2)
25MD00340500
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Modupe Agunbiade, DPM?

The NPI number of Dr. Modupe Agunbiade, DPM is 1528443033. It was assigned on July 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Modupe Agunbiade, DPM?

Dr. Modupe Agunbiade, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NY under license number N006878-01.

Where does Dr. Modupe Agunbiade, DPM practice?

The practice location is 310 Central Ave Ste 303, East Orange, NJ 07018-2838. The office can be reached at 973-337-2893 (phone) or 201-228-1689 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528443033 directly on the NPPES registry website.

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