1093723843 NPI number — GOKHAN OZUNER MD

Table of content: GOKHAN OZUNER MD (NPI 1093723843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093723843 NPI number — GOKHAN OZUNER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OZUNER
Provider First Name:
GOKHAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093723843
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
506 6TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11215-3609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-780-3288
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
506 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215-3609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-780-3288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  179610 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208C00000X , with the licence number: 25MA08320100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208C00000X , with the licence number: 179610 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0D0117 . This is a "HEALTHNET NE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5815480 . This is a "AETNA TRADITIONAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: P403524 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0101615 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01658828 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 29282 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 910611 . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0588014 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 179610 . This is a "HIP OF NY" identifier . This identifiers is of the category "OTHER".




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