Healthcare Provider Details

I. General information

NPI: 1558944744
Provider Name (Legal Business Name): NADEEM OBAYDOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CAPITAL WAY
PENNINGTON NJ
08534-2520
US

IV. Provider business mailing address

1 CAPITAL WAY
PENNINGTON NJ
08534-2520
US

V. Phone/Fax

Practice location:
  • Phone: 609-303-4000
  • Fax:
Mailing address:
  • Phone: 609-303-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD492385
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA12506100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: