Aylin Ozdemir, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0079334 Issued in FL

Practice address

1102 A1A N Ste 104
Ponte Vedra Beach, FL 32082-4098

Phone

(904) 273-6533

Fax

(904) 273-6532

NPI assigned

Apr 28, 2006

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aylin.ozdemir.1@10052.direct.athenahealth.com
• Direct secure messaging: aylin.ozdemir.1@3656.direct.athenahealth.com
• Direct secure messaging: aylin.ozdemir.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3656/brand/1/csg/1/fhir/r4

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.

• Integrative Medical Group, USA, LLC

  • Primary Care Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1144628439
  NPD (past) Authorized official
• Pediatric Associates of Jacksonville, PA

  • Pediatrics Physician
  • Ponte Vedra Beach, FL
  • NPI 1811954126
  NPD (past) Authorized official
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1750348009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-273-6533",
            "fax_number": "904-280-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-273-6533",
            "fax_number": "904-273-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZDEMIR",
        "first_name": "AYLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0079334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "272554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "57980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7824247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occuplay Inc
• Jason Samuel Olitsky
• Erica Oppenheimer, LMSW
• Nina Oriolo, BSN
• Emily Ortiz
• Richard G Packo, DC
• Thomas Paganucci, M.D.
• Palm Valley Eye Care and Surgeons, LLC
• Palm Valley Family Dentistry, P.a.
• Palm Valley Family Dentistry, PLLC

• Pediatrics Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.