Nicolas Alejandro Ulloa, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

318091 Issued in NY

Practice address

101 Nicolls Rd
Stony Brook, NY 11794-1407

Phone

(305) 332-1652

NPI assigned

Apr 17, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterling Emergency Services of Miami Beach PAGroup PAC ID 3476553215, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sterling Emergency Services of Miami Beach PA

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1083912471
  Medicare reassignment Care Compare group NPD
• Sterling Emergency Services of Miami Beach PA

  • Emergency Medicine Physician
  • Miami Beach, FL
  • NPI 1659355253
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1275020034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 SW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451538",
            "telephone_number": "305-332-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117941407",
            "telephone_number": "305-332-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "NICOLAS",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME157819",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "318091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aura Olinda Tuzinowski, RPH
• Janelle Lynn Tychnowitz, RN, CPN, PNP
• Chinenye Ugonabo
• Kazi Imran Ullah, MD
• Charles A Ullo
• Leslie Anne Caparas Umali, PA
• Vaibhavi Umesh, M.D., M.S.
• Chaya Ungar
• United Cerebral Palsy Association of Greater Suffolk, Inc
• United Cerebral Palsy Association of Greater Suffolk, Inc.

• Emergency Medicine Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.