Ujjwal Kumar Datta, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00275800 Issued in NJ

Practice address

4 E High St
Bound Brook, NJ 08805-1946

Phone

(732) 537-9200

Fax

(732) 356-3750

NPI assigned

Jun 10, 2005

Last updated

May 3, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Central Jersey Medical Center Inc.Group PAC ID 1456301241, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: ujjwal.datta.1@16647.direct.athenahealth.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.

• Central Jersey Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Carteret, NJ
  • NPI 1932974250
  Medicare reassignment Care Compare group NPD
• Garden State Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Bound Brook, NJ
  • NPI 1194084640
  Medicare reassignment NPD Authorized official
• Monmouth Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
  • NPI 1962841502
  Medicare reassignment
• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Perth Amboy, NJ
  • NPI 1306891791
  NPD
• Monmouth Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
  • NPI 1073558391
  NPD
• Monmouth Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
  • NPI 1790974996
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  dba Raritan Bay Medical Center-Old Bridge

  • General Acute Care Hospital
  • Old Bridge, NJ
  • NPI 1356828172
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1760486385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E HIGH ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051946",
            "telephone_number": "732-537-9200",
            "fax_number": "732-356-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E HIGH ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051946",
            "telephone_number": "732-537-9200",
            "fax_number": "732-356-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "UJJWAL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00275800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Cote, LCSW
• Ari Crystal-Ornelas, DMD
• Matthew Edison Cumber
• Evan Curry, PA-C
• Jeffrey C Danco, PSYD DR OF PSYCH
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Dental Excel P.a.

• Foot Surgery Podiatrist in Bound Brook, NJ
• Providers in Bound Brook, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.