Provider Demographics
NPI:1154296580
Name:OZCAG, ISMAIL
Entity type:Individual
Prefix:
First Name:ISMAIL
Middle Name:
Last Name:OZCAG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:ALNAHAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1075 MAIN ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-1859
Mailing Address - Country:US
Mailing Address - Phone:973-615-8300
Mailing Address - Fax:201-580-4343
Practice Address - Street 1:1075 MAIN ST APT 2B
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-1859
Practice Address - Country:US
Practice Address - Phone:973-615-8300
Practice Address - Fax:201-580-4343
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ973902825075030347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker