Jeffrey Ulatan

General Practice Physician · Boston, MA

Individual Active NPI

NPI number 1154939569

Practice location

25 Shattuck St
Boston, MA 02115-6027
Phone
(646) 760-5333

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NPI record

NPI
1154939569
Entity type
Individual (Type 1)
Enumeration date
July 21, 2020
Last updated
April 10, 2026
Certified
April 10, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 3172417 MA
Research Study Specialist 1744R1102X 3172417 MA
Clinical Molecular Genetics Physician 207SG0203X AAM3172417 MA
Biomedical Engineer 246ZB0301X 3172417 MA

Mailing address

123 North Sea Rd
897
Southampton, NY 11968-0897
Phone
(317) 647-4390
Fax
(317) 647-4390

About Jeffrey Ulatan

Jeffrey Ulatan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 25 Shattuck St, Boston, MA 02115-6027. The NPI number 1154939569 was assigned on July 21, 2020 and the record was last updated on April 10, 2026.

Jeffrey Ulatan lists 4 licenses in the registry: #3172417 (MA) for General Practice Physician; #3172417 (MA) for Research Study Specialist; #AAM3172417 (MA) for Clinical Molecular Genetics Physician; #3172417 (MA) for Biomedical Engineer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Ulatan?

The NPI number is 1154939569.

What is the phone number of Jeffrey Ulatan?

The phone number listed for the practice location is (646) 760-5333.

Where is Jeffrey Ulatan located?

25 Shattuck St, Boston, MA 02115-6027.

What is the taxonomy code for Jeffrey Ulatan?

The primary taxonomy code is 208D00000X – General Practice Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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