Individual provider Active NPI

Sulmeet Aaron Ezekiel, APN

  • Family Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1174901235
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00550300 Issued in NJ
Practice address
36 Chatsworth Rd
Manalapan, NJ 07726-4185
Phone
(732) 851-4875
NPI assigned
May 11, 2015
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00550300 NJ Primary

Addresses

Primary practice location

36 Chatsworth Rd
Manalapan, NJ 07726-4185

Mailing address

36 Chatsworth Rd
Manalapan, NJ 07726-4185
Phone (732) 851-4875

Other names 1

  • Sulmeet Aaron Hyams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000647 NJ Practitioner - Nurse Practitioner 2769798776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00550300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1174901235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CHATSWORTH RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264185",
            "telephone_number": "732-851-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CHATSWORTH RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264185",
            "telephone_number": "732-851-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKIEL",
        "first_name": "SULMEET",
        "middle_name": "AARON",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00550300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SULMEET",
            "last_name": "HYAMS",
            "middle_name": "AARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.