Jay Morris Ungar, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD19931 Issued in ME

Practice address

50 Marquis Rd
Southern Maine Geriatrics Associates LLC
Freeport, ME 04032-6477

Phone

(207) 865-6131

Fax

(207) 865-9399

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1558336131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARQUIS RD",
            "address_2": "SOUTHERN MAINE GERIATRICS ASSOCIATES LLC",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326477",
            "telephone_number": "207-865-6131",
            "fax_number": "207-865-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MARQUIS RD",
            "address_2": "SOUTHERN MAINE GERIATRICS ASSOCIATES LLC",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326477",
            "telephone_number": "207-865-6131",
            "fax_number": "207-865-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAR",
        "first_name": "JAY",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "40904",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD19931",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD19931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35028720",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline E Thorne-Lyman, MED, MSW, LCSW
• Sara Elisabeth Tierce-Hazard, AGPCNP-BC, PHMNP-BC
• Kazutoshi Toita, P.T.
• Town of Freeport
• Beverly M Towne, MD
• Elena Bell Wagner, PNP
• Elizabeth E Walker, MA
• Meredith Wall, PA-C
• Gina Warren, NTP, RWP
• Corie Washow

• Geriatric Medicine (Internal Medicine) Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.