Individual provider Active NPI

Ismail Ozcan, M.D.

  • Family Medicine Physician
  • Baldwin, NY
National Provider Identifier
1932271509
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
242241 Issued in NY
Practice address
2762 Milburn Ave
Baldwin, NY 11510-4117
Phone
(516) 705-4114
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 242241 NY Primary

Addresses

Primary practice location

2762 Milburn Ave
Baldwin, NY 11510-4117

Mailing address

2762 Milburn Ave
Baldwin, NY 11510-4117
Phone (516) 705-4114

Other identifiers 1

IdentifierTypeStateIssuer
02838420MedicaidNY

Other names 1

  • Ismail Ozcan Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070419000685 NY Practitioner - Family PracticePractitioner - Emergency Medicine 4284739285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ismail Ozcan MD PCGroup PAC ID 1456456458, 3 clinicians

Practice addresses (Care Compare)

122 Portion Rd
Lake Ronkonkoma, NY 11779-4174
Phone (631) 588-6665

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue51
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail Ozcan MD PC Family Medicine CurrentSince Dec 13, 2004 Accepting new patients
Vytaliz Medical CurrentSince Jan 1, 2023 Accepting new patients
Lifeline Medical Testing PLLC Past Accepting new patients

Locations

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

122 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 588-6665

95 Church St
Ronkonkoma, NY 11779
Phone (631) 588-6665

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1932271509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104117",
            "telephone_number": "516-705-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2762 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104117",
            "telephone_number": "516-705-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZCAN",
        "first_name": "ISMAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02838420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISMAIL",
            "last_name": "OZCAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.