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

Nikole K Bobadilla, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1790045110

Nikole K Bobadilla, MD is an Obstetrics/Gynecology in West Orange, New Jersey. Graduated from Medical College of Georgia School of Medicine in 2012, 14 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
14
Trained at
Medical College of Georgia School of Medicine
Licensed in
NC, NJ
In the registry since
2012
Specialties on file
3
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

375 Mount Pleasant Ave
West Orange, NJ 07052-2750
Phone: (973) 731-7707
Fax: (973) 669-0277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1806 S Hawthorne Rd, Winston Salem, NC 27103-4014 — (336) 768-3632

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MA11180400 (NJ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2016-00718 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790045110
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2012
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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