R Brian Ullmann, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

8720 Issued in NJ

Practice address

312 Warren Ave
Ho Ho Kus, NJ 07423

Phone

(201) 444-9777

Fax

(201) 612-0423

NPI assigned

Sep 28, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 17, 2016 through May 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Prosthodontic Associates of Hohokus

  • Prosthodontics
  • Ho Ho Kus, NJ
  • NPI 1184842999
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831281179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WARREN AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "07423",
            "telephone_number": "201-444-9777",
            "fax_number": "201-612-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WARREN AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "07423",
            "telephone_number": "201-444-9777",
            "fax_number": "201-612-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMANN",
        "first_name": "R BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "8720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Tait, LCSW, LCADC
• The Koch Center, PC
• Gregory Clinton Thomas, D.C., B.C.A.O.
• Trevor Fennell Physical Therapy Corp
• Julia Tsakalis, LCSW
• Annemarie Valinoti, M.D.
• Valley Pediatric Associates PA
• Leah Van Blarcom, D.C.
• Ronald Henry Vanslooten, DDS
• Michael T Varallo, D.M.D.

• Prosthodontics in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.