Individual provider Active NPI

Ulas Bozdogan, M.D

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1417112731
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08358700 Issued in NJ
Practice address
140 Prospect Ave
Suite 15
Hackensack, NJ 07601-2255
Phone
(201) 880-6181
Fax
(201) 880-6184
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036120335 IL
Obstetrics & Gynecology Physician 207V00000X 25MA08358700 NJ Primary

Addresses

Primary practice location

140 Prospect Ave
Suite 15
Hackensack, NJ 07601-2255

Mailing address

140 Prospect Ave
Suite 15
Hackensack, NJ 07601-2255
Phone (201) 880-6181

Other identifiers 2

IdentifierTypeStateIssuer
MA59792OtherNJNEW JERSEY LICENSE
LICENSE NUMBEROtherIL036120335

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036120335ILMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: ubozdogan67270@northwell.direct-ci.com
  • Direct secure messaging: ubozdogan189452@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1417112731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "SUITE 15",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012255",
            "telephone_number": "201-880-6181",
            "fax_number": "201-880-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE",
            "address_2": "SUITE 15",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012255",
            "telephone_number": "201-880-6181",
            "fax_number": "201-880-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZDOGAN",
        "first_name": "ULAS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036120335",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08358700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY LICENSE",
            "identifier": "MA59792",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "036120335",
            "identifier": "LICENSE NUMBER",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.