Active NPI
Sultan Pehlivan, MD
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
National Provider Identifier
1235998352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 111 E 210TH St
Bronx, NY 10467 - Phone
- (718) 920-4321
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467
Mailing address
17 Cardinal LN
Hauppauge, NY 11788-2228
Phone (856) 375-9477
Other practice location 1
2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220
Phone (516) 719-1001
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1235998352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CARDINAL LN",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882228",
"telephone_number": "856-375-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4321"
}
],
"practiceLocations": [
{
"address_1": "2200 Northern Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Greenvale",
"state": "NY",
"postal_code": "115481220",
"country_code": "US",
"telephone_number": "516-719-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEHLIVAN",
"first_name": "SULTAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.