Active NPIIndividual providerSole proprietor

Ambrose Mgbako, MD

Psychiatry & Neurology, Psychiatry in Montclair, New Jersey

NPI Number1629045323
Practice location
1 Bay Ave, Montclair, NJ 07042-4837
Fax
—
Last updated
August 3, 2010

Ambrose Mgbako is a Psychiatry & Neurology, Psychiatry based in Montclair, NJ. Ambrose Mgbako practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Ambrose Mgbako is 1629045323 and holds a License No. 25MA06256300 (NJ). The current practice location address for Ambrose Mgbako is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-971-5595.

Provider Profile Details

NPI Number
1629045323
Provider Name
Ambrose Mgbako
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Ave, Montclair, NJ 07042-4837
Phone Number
973-971-5595
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2006
Last Update Date
August 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-971-5595
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
Po Box 23831
Newark, NJ 07189-0001
City
Newark
State
NJ
Zip
07189-0001
Phone Number
973-971-5595

License Information

License Number
25MA06256300
License State
NJ
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Ambrose Mgbako, MD?

The NPI number of Ambrose Mgbako, MD is 1629045323. It was assigned on March 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Ambrose Mgbako, MD?

Ambrose Mgbako, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA06256300.

Where does Ambrose Mgbako, MD practice?

The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-971-5595 (phone).

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 1629045323 directly on the NPPES registry website.

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