Active NPI
Deborah L. Ungerleider, M.D.
- Pediatrics Physician
- Midland Park, NJ
National Provider Identifier
1437118544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05289700
- Practice address
- 44 Godwin Ave
Suite #100
Midland Park, NJ 07432-1969 - Phone
- (201) 444-8389
- Fax
- (201) 444-2309
- NPI assigned
- Mar 20, 2006
- Last updated
- Oct 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA52897 | NJ | |
| Pediatrics Physician | 208000000X | 25MA05289700 | NJ | Primary |
Addresses
Primary practice location
44 Godwin Ave
Suite #100
Midland Park, NJ 07432-1969
Mailing address
44 Godwin Ave
Suite #100
Midland Park, NJ 07432-1969
Phone (201) 444-8389
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA52897 | NJ | MD | Specialist |
| 25MA05289700 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1437118544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 GODWIN AVE",
"address_2": "SUITE #100",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321969",
"telephone_number": "201-444-8389",
"fax_number": "201-444-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GODWIN AVE",
"address_2": "SUITE #100",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321969",
"telephone_number": "201-444-8389",
"fax_number": "201-444-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGERLEIDER",
"first_name": "DEBORAH",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA52897",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05289700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.