Michael J Ungerland, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0099691 Issued in NY

Practice address

71 Prospect Ave
Columbia Memorial Hospital
Hudson, NY 12534

Phone

(518) 828-7601

NPI assigned

Oct 20, 2006

Last updated

Jul 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.ungerland_2859@2859.securemail.prognocis.com

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

• Albany Medical College

  dba Albany Medical College Dept of Emergency Medicine

  • Emergency Medicine Physician
  • Albany, NY
  • NPI 1174553093

  Physician Assistant

  NPD
• Albany Medical College

  dba Albany Med EmUrgent Care

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  dba Albany Medical College Department of Medicine

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248

  Physician Assistant

  NPD
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  NPD
• Columbia Emergency Services, PC

  • Emergency Medicine Physician
  • Hudson, NY
  • NPI 1467401265
  NPD (past)
• Island Medical Empire State, PLLC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1053623041

  Physician Assistant

  NPD (past)
• Orthopedicsny, LLP

  • Specialist
  • Albany, NY
  • NPI 1568415412
  NPD (past)
• Schenectady Dermatology, PC

  • Dermatology Physician
  • Schenectady, NY
  • NPI 1417905290
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1649352212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COLUMBIA ST",
            "address_2": "SUITE #2",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-751-1016",
            "fax_number": "518-751-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "address_2": "COLUMBIA MEMORIAL HOSPITAL",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-828-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGERLAND",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009969",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0099691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02618073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Tullo
• Twin County Medical Associates, PC
• Twin County Recovery Services Inc
• Catharine L. Tyler
• Sanford Ullman, M.D.
• Richard Edward Valliere, LCSW
• Jeffrey David Van Gorden, OT
• Amber C Van Moessner, MHC-LP
• Katie Scarlett Van Valkenburgh
• Sharon Lee Veltman, MS, CCC-SLP

• Physician Assistant in Hudson, NY
• Providers in Hudson, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.