Individual provider Active NPI

Raymond Charles Sultan, M.D.

  • Urology Physician
  • Manhasset, NY
National Provider Identifier
1033364351
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
264631 Issued in NY
Practice address
535 Plandome Rd
Manhasset, NY 11030-1974
Phone
(516) 627-6188
Fax
(516) 627-9397
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 264631 NY Primary

Addresses

Primary practice location

535 Plandome Rd
Manhasset, NY 11030-1974

Mailing address

535 Plandome Rd
Manhasset, NY 11030-1974
Phone (516) 627-6188

Other identifiers 1

IdentifierTypeStateIssuer
CG0053OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000430 NY Practitioner - Urology 3476718222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians

Practice addresses (Care Compare)

1 S Central Ave
Mount Sinai Marathon Medical
Valley Stream, NY 11580-5443
Phone (516) 632-3350

2 Lincoln Ave
Rockville Centre, NY 11570-5775
Phone (516) 763-7820

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
264631NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Urology CurrentSince Jun 1, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 26, 2022 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 26, 2022 Accepting new patients
Mount Sinai School of Medicine Urology CurrentSince Feb 1, 2019 Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

27005 76th Ave
North New Hyde Pk, NY 11040

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

2 Lincoln Ave
Ste 102
Rockville Centre, NY 11570
Phone (516) 877-0977

2 Lincoln Ave
Rockville Ctr, NY 11570
Phone (516) 390-2850

1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1033364351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301974",
            "telephone_number": "516-627-6188",
            "fax_number": "516-627-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301974",
            "telephone_number": "516-627-6188",
            "fax_number": "516-627-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "RAYMOND",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "264631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.