Active NPI
Eda Gokce Ozulkulu
- Physical Therapist
- Ridgewood, NY
National Provider Identifier
1861241747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051979
- Practice address
- 6009 Myrtle Ave
Ridgewood, NY 11385-5933 - Phone
- (347) 472-1834
- NPI assigned
- May 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 013872 | NY | |
| Physical Therapist | 225100000X | 051979 | NY | Primary |
Addresses
Primary practice location
6009 Myrtle Ave
Ridgewood, NY 11385-5933
Mailing address
6009 Myrtle Ave
Ridgewood, NY 11385-5933
Other practice location 1
153 Bay 26th St
Brooklyn, NY 11214-4938
Phone (347) 702-9958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051979 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1861241747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855933",
"telephone_number": "347-472-1834"
}
],
"practiceLocations": [
{
"address_1": "153 Bay 26th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112144938",
"country_code": "US",
"telephone_number": "347-702-9958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZULKULU",
"first_name": "EDA",
"middle_name": "GOKCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "013872",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.