Healthcare Provider Details

I. General information

NPI: 1790875961
Provider Name (Legal Business Name): IGOR UGOREC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: IGORIS OUGORETS MD

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MADISON AVE SUITE 200
MORRISTOWN NJ
07960-6967
US

IV. Provider business mailing address

310 MADISON AVE SUITE 200
MORRISTOWN NJ
07960-6967
US

V. Phone/Fax

Practice location:
  • Phone: 973-285-7800
  • Fax: 973-285-7805
Mailing address:
  • Phone: 973-285-7800
  • Fax: 973-285-7805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number220717
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA08299400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA08299400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number220717
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number25MA08299400
License Number StateNJ
# 6
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number220717
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: