JUSTIN UNGERLEIDER MD
NPI 1205696689
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Justin Ungerleider Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN UNGERLEIDER MD (NPI 1205696689) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Ungerleider Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Ungerleider's NPI number?
The NPI number for Justin Ungerleider is 1205696689. It was assigned to this individual provider in the NPPES registry on March 21, 2024.
Where is Justin Ungerleider located?
Justin Ungerleider practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.
What is Justin Ungerleider's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justin Ungerleider enrolled in Medicare?
Yes. Justin Ungerleider is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Ungerleider was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justin Ungerleider, MD · NPI 1205696689
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 21, 2024.
## Identity
- **NPI:** 1205696689 (Entity type: Individual)
- **Enumerated:** March 21, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205696689) · Data from the CMS NPPES public registry.