Active NPI
Ulas Bozdogan, M.D
- Obstetrics & Gynecology Physician
- Hackensack, NJ
National Provider Identifier
1417112731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA08358700
- 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
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 & 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA59792 | Other | NJ | NEW JERSEY LICENSE |
| LICENSE NUMBER | Other | IL | 036120335 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036120335 | IL | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- ubozdogan67270@northwell.direct-ci.com
- 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.