MEDICARE: IGOR UGOREC MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	220717	NY
2	2084N0400X	Neurology Physician	25MA08299400	NJ
3	2084V0102X	Vascular Neurology Physician	25MA08299400	NJ
4	2084P0005X	Neurodevelopmental Disabilities Physician	220717	NY
5	2084N0400X	Neurology Physician	MD491188	PA
6	2084N0400X	Neurology Physician	220717	NY
7	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA08299400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790875961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IGOR UGOREC MD

Provider Business Mailing Address
First Line	:	310 MADISON AVE STE 200
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6967
Country	:	US
Telephone Number	:	973-285-7800
Fax Number	:	973-285-7805

Provider Business Practice Location Address
First Line	:	310 MADISON AVE
Second Line	:	SUITE 200
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6967
Country	:	US
Telephone Number	:	973-285-7800
Fax Number	:	973-285-7805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/12/2026

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Directions to “ IGOR UGOREC MD” Practice Location

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