Active NPI
Abiwaqqas Sultan
- Registered Nurse
- New York, NY
National Provider Identifier
1174020580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 747006
- Practice address
- 550 W 54 St
1909
New York, NY 10019 - Phone
- (718) 671-2100
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 747006 | NY | Primary |
Addresses
Primary practice location
550 W 54 St
1909
New York, NY 10019
Mailing address
550 W 54TH St Apt 1909
New York, NY 10019-5987
Phone (718) 671-2100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747006 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1174020580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W 54TH ST APT 1909",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195987",
"telephone_number": "718-671-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W 54 ST",
"address_2": "1909",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "718-671-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "ABIWAQQAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "747006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.