Provider Demographics
NPI:1558336131
Name:UNGAR, JAY MORRIS (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:MORRIS
Last Name:UNGAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 MARQUIS RD
Mailing Address - Street 2:SOUTHERN MAINE GERIATRICS ASSOCIATES LLC
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-6477
Mailing Address - Country:US
Mailing Address - Phone:207-865-6131
Mailing Address - Fax:207-865-9399
Practice Address - Street 1:50 MARQUIS RD
Practice Address - Street 2:SOUTHERN MAINE GERIATRICS ASSOCIATES LLC
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-6477
Practice Address - Country:US
Practice Address - Phone:207-865-6131
Practice Address - Fax:207-865-9399
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2017-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA40904207RG0300X
MEMD19931207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA35028720Medicaid
B97972Medicare UPIN
MA35028720Medicaid
MAJ05899Medicare PIN