Cory Ullger, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

300596 Issued in NY

Practice address

3825 Astoria Blvd
Astoria, NY 11103-3608

Phone

(718) 274-3000

NPI assigned

Mar 29, 2016

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Physical Medicine and Rehabilitation

Education

New York College of Osteo Medicine of New York Institute of Technology, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paradigm Medical Rehabilitation PLLCGroup PAC ID 2668882457, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.5 of 100Reported as individual

Quality

25

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: cullger683794@nychhc.direct-ci.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.

• Paradigm Medical Rehabilitation PLLC

  • Physical Medicine & Rehabilitation Physician
  • Plainview, NY
  • NPI 1053921197
  Medicare reassignment Care Compare group NPD
• Brian Mayrsohn MD PLLC

  • Pain Medicine Physician
  • Port Jefferson, NY
  • NPI 1942992235
  Medicare reassignment NPD
• Complete Wellness Medical PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1851737209
  Medicare reassignment NPD
• Ko Medical Rehabilitation, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plainview, NY
  • NPI 1679324438
  Medicare reassignment NPD

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1720441660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033608",
            "telephone_number": "718-274-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Madison Ave Ste 1201",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100223390",
            "country_code": "US",
            "telephone_number": "212-737-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146A Manetto Hill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118031323",
            "country_code": "US",
            "telephone_number": "516-200-4814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLGER",
        "first_name": "CORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "300596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.