Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ambrose Mgbako, MD

Individual provider Psychiatry Physician · NPI 1629045323

Ambrose Mgbako, MD is a Psychiatry in Montclair, New Jersey. Qualified in 1972, 54 years ago. Practices with Eoh Acquisition Group, LLC, a 39-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
54
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Bay Ave
Montclair, NJ 07042-4837
Phone: (973) 971-5595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA06256300 (NJ)

Record details

NPI number1629045323
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 2, 2006
Last updated in NPPESAugust 3, 2010
Mailing addressPo Box 23831, Newark, NJ 07189-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Eoh Acquisition Group, Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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