Active NPI
David Kulak
- Obstetrics Physician
- Newark, NJ
National Provider Identifier
1114208725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 270593-1
- Practice address
- 185 S Orange Ave
E-561
Newark, NJ 07103-2757 - Phone
- (973) 972-5136
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 270593-1 | NY | Primary |
| Gynecology Physician | 207VG0400X | 270593-1 | NY |
Addresses
Primary practice location
185 S Orange Ave
E-561
Newark, NJ 07103-2757
Mailing address
185 S Orange Ave
E-561
Newark, NJ 07103-2757
Phone (973) 972-5136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270593-1 | NY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Genesis Fertility and Reproductive Medicine, P.C | Past | Accepting new patients |
Locations
6010 Bay Pkwy
Ste 501
Brooklyn, NY 11204
Phone (718) 513-4021
6010 Bay Pkwy
Fl 5
Brooklyn, NY 11204
Phone (718) 283-8600
Interoperability endpoints
- davidkulak@mai.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Reproductive Endocrinology Physician
- Brooklyn, NY
- NPI 1609447630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1114208725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE",
"address_2": "E-561",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE",
"address_2": "E-561",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULAK",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "270593-1",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "270593-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.