Active NPI
Jeffrey Ulatan
- General Practice Physician
- Boston, MA
National Provider Identifier
1154939569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3172417
- Practice address
- 25 Shattuck St
Boston, MA 02115-6027 - Phone
- (646) 760-5333
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | 3172417 | MA | |
| Clinical Molecular Genetics Physician | 207SG0203X | AAM3172417 | MA | |
| General Practice Physician | 208D00000X | 3172417 | MA | Primary |
| Biomedical Engineer | 246ZB0301X | 3172417 | MA |
Addresses
Primary practice location
25 Shattuck St
Boston, MA 02115-6027
Mailing address
123 North Sea Rd
897
Southampton, NY 11968-0897
Phone (317) 647-4390
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15361568 | Other | MA | AAMC |
| 24578497 | Other | MA | PARTNERS |
| AAM-5560-2020 | Other | MA | RESEARCHID |
| 4262900 | Other | MA | SSRN |
| 0000-0002-3756-0568 | Other | GU | ORCID |
Other names 1
- Mr. Jeffrey Cagalitan Ulatan
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | http://webservices.lib.harvard.edu/rest/mods/hollis/ | Direct | |
| Other URL | https://www.doximity.com/api/v1/users/current | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| AAM3172417 | MA | MD | Clinical Molecular Genetics Physician |
| 3172417 | MA | MD | Biomedical Engineer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1154939569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 NORTH SEA RD",
"address_2": "897",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119680897",
"telephone_number": "317-647-4390",
"fax_number": "317-647-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SHATTUCK ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156027",
"telephone_number": "646-760-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULATAN",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "MA",
"license": "3172417",
"primary": false
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "MA",
"license": "AAM3172417",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "3172417",
"primary": true
},
{
"code": "246ZB0301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Biomedical Engineering",
"state": "MA",
"license": "3172417",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAMC",
"identifier": "15361568",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "24578497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESEARCHID",
"identifier": "AAM-5560-2020",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSRN",
"identifier": "4262900",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORCID",
"identifier": "0000-0002-3756-0568",
"state": "GU"
}
],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "http://webservices.lib.harvard.edu/rest/mods/hollis/",
"affiliation": "N",
"endpointDescription": "PRESTO DATA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25 Shattuck St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021156027",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.doximity.com/api/v1/users/current",
"affiliation": "N",
"endpointDescription": "HIPPA API",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25 Shattuck St",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021156092",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "ULATAN",
"middle_name": "CAGALITAN",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.