Dr Ujjwal Kumar Datta, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Bound Brook, New Jersey. He went to New York College Of Podiatric Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Central Jersey Medical Center Inc. and his current practice location is
4 E High St, Bound Brook, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 537-9200.
Dr Ujjwal Kumar Datta is licensed to practice in New Jersey (license number 25MD00275800) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1760486385.
Healthcare Provider's Profile
| Full Name | Dr Ujjwal Kumar Datta |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 24 Years |
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| Location | 4 E High St, Bound Brook, New Jersey |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ujjwal Kumar Datta attended and graduated from New York College Of Podiatric Medicine in 2000
NPI Data:
- NPI Number: 1760486385
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 05/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 4486641800
- Enrollment ID: I20040512000040
Medical Identifiers
Medical identifiers for Dr Ujjwal Kumar Datta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760486385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | 25MD00275800 (New Jersey) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ujjwal Kumar Datta allows following entities to bill medicare on his behalf.
| Provider Name | Central Jersey Medical Center Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932974250
PECOS PAC ID: 1456301241
Enrollment ID: O20050712000392 |
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| Provider Name | Garden State Podiatry, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194084640
PECOS PAC ID: 8123278504
Enrollment ID: O20121019000450 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ujjwal Kumar Datta is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Ujjwal Kumar Datta, DPM
4 E High St,
Bound Brook, NJ 08805-1946
Ph: (732) 537-9200 | Dr Ujjwal Kumar Datta, DPM
4 E High St,
Bound Brook, NJ 08805-1946
Ph: (732) 537-9200 |
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