Healthcare Provider Details

I. General information

NPI: 1588471155
Provider Name (Legal Business Name): UZAR PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HOOPER AVE STE 2
TOMS RIVER NJ
08753-2981
US

IV. Provider business mailing address

5308 13TH AVE STE 558
BROOKLYN NY
11219-5198
US

V. Phone/Fax

Practice location:
  • Phone: 732-339-3398
  • Fax:
Mailing address:
  • Phone: 973-370-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MOSES MOTZEN
Title or Position: CEO
Credential:
Phone: 732-339-3398