Organization Active NPI

Ulend Medical Practice LLC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1689462186
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ULEND MEDICAL PRACTICE LLC
Practice address
14200 Bustleton Ave Ste 17
Philadelphia, PA 19116-1186
Phone
(267) 934-6769
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dmitry Ulend, NPNPI 1306344718
Title
Owner/NP
Phone
(267) 934-6769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14200 Bustleton Ave Ste 17
Philadelphia, PA 19116-1186

Mailing address

14200 Bustleton Ave Ste 17
Philadelphia, PA 19116-1186

National Provider Directory

National Provider Directory

Locations

14200 Bustleton Ave
Ste 17
Philadelphia, PA 19116
Phone (267) 934-6769

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1689462186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 BUSTLETON AVE STE 17",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 BUSTLETON AVE STE 17",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161186",
            "telephone_number": "267-934-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULEND MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "ULEND",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "267-934-6769",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.