Healthcare Provider Details

I. General information

NPI: 1376117796
Provider Name (Legal Business Name): MUSTAFA BILAL OZBAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date: 09/27/2022
Reactivation Date: 10/25/2022

III. Provider practice location address

1 PLAINSBORO ROAD
PLAINSBORO NJ
08536-1913
US

IV. Provider business mailing address

1 PLAINSBORO ROAD
PLAINSBORO NJ
08536-1913
US

V. Phone/Fax

Practice location:
  • Phone: 609-853-6049
  • Fax: 609-853-7221
Mailing address:
  • Phone: 206-771-9470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12076300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA12076300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: