Healthcare Provider Details

I. General information

NPI: 1669589990
Provider Name (Legal Business Name): AYKUT OZDEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/10/2024
Certification Date: 08/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 RIVER RD STE 118
EDGEWATER NJ
07020-1170
US

IV. Provider business mailing address

725 RIVER RD STE 118
EDGEWATER NJ
07020-1170
US

V. Phone/Fax

Practice location:
  • Phone: 201-220-5868
  • Fax:
Mailing address:
  • Phone: 201-220-5868
  • Fax: 646-518-9294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number251658
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA08613000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number251658
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number251658
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: