Individual provider Active NPI

Ugur Ozerdem, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1518197490
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
267894-1 Issued in NY
Practice address
New York University Langone Medical Center
560 1St Ave Dept of Pathology Room Th415J
New York, NY 10016-6402
Phone
(858) 775-4055
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 267894-1 NY Primary

Addresses

Primary practice location

New York University Langone Medical Center
560 1St Ave Dept of Pathology Room Th415J
New York, NY 10016-6402

Mailing address

New York University Langone Medical Center
560 1St Ave Dept of Pathology Room Th415J
New York, NY 10016-6402
Phone (858) 775-4055

Other practice location 1

310 Cedar St
Yale School of Medicine, Department of Pathology
New Haven, CT 06510-3218
Phone (858) 775-4055

Other practice location 2

560 1st Ave Dept of Pathology Room TH415J
New York, NY 10016-6402
Phone (858) 775-4055

Other practice location 3

560 1st Ave Dept of Pathology Room TH415J
New York, NY 10016-6402
Phone (858) 775-4055

Other practice location 4

560 1st Ave Dept of Pathology Room TH415J
New York, NY 10016-6402
Phone (858) 775-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140919002138 CT Practitioner - Pathology 0547489700 Reassigns benefits to 1 organization
I20170809004094 NY Practitioner - Pathology 0547489700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

40 Oak Ridge Dr
Hamden, CT 06518-5361
Phone (212) 263-5230

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267894-1NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2017 Accepting new patients
New York University CurrentSince Sep 1, 2017 Accepting new patients

Locations

560 1st Ave
Rm TH415J
New York, NY 10016
Phone (858) 775-4055

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 2

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1518197490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW YORK UNIVERSITY LANGONE MEDICAL CENTER",
            "address_2": "560 1ST AVE DEPT OF PATHOLOGY ROOM TH415J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "858-775-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK UNIVERSITY LANGONE MEDICAL CENTER",
            "address_2": "560 1ST AVE DEPT OF PATHOLOGY ROOM TH415J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "858-775-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Cedar St",
            "address_2": "Yale School of Medicine, Department of Pathology",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103218",
            "country_code": "US",
            "telephone_number": "858-775-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 1st Ave Dept of Pathology Room TH415J",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "858-775-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 1st Ave Dept of Pathology Room TH415J",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "858-775-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 1st Ave Dept of Pathology Room TH415J",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "858-775-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZERDEM",
        "first_name": "UGUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "267894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.