Active NPI
Marla Beth Sultan, M.D.
- Ophthalmology Physician
- Old Westbury, NY
National Provider Identifier
1164596243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 204963-1
- Practice address
- 211 Glen Cove Rd
Old Westbury, NY 11568-1523 - Phone
- (516) 746-4018
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 204963-1 | NY | Primary |
| Ophthalmology Physician | 207W00000X | ME-71586 | FL | |
| Ophthalmology Physician | 207W00000X | G87745 | CA |
Addresses
Primary practice location
211 Glen Cove Rd
Old Westbury, NY 11568-1523
Mailing address
233 S Barrington Ave Apt 215
Los Angeles, CA 90049-3346
Phone (917) 312-7330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87745 | CA | MD | Ophthalmology Physician |
| ME-71586 | FL | MD | Ophthalmology Physician |
| 204963-1 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164596243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 S BARRINGTON AVE APT 215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493346",
"telephone_number": "917-312-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 GLEN COVE RD",
"city": "OLD WESTBURY",
"state": "NY",
"postal_code": "115681523",
"telephone_number": "516-746-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "MARLA",
"middle_name": "BETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "204963-1",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME-71586",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G87745",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.