Active NPI
James Anthony Sulzer, M.D.
- Pediatrics Physician
- Poughkeepsie, NY
National Provider Identifier
1255531240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 244948
- Practice address
- 104 Fulton Avenue
Poughkeepsie, NY 12603 - Phone
- (845) 452-1700
- Fax
- (845) 452-1752
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 244948 | NY | Primary |
Addresses
Primary practice location
104 Fulton Avenue
Poughkeepsie, NY 12603
Mailing address
104 Fulton Avenue
Poughkeepsie, NY 12603
Phone (845) 452-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02900301 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1255531240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 FULTON AVENUE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-452-1700",
"fax_number": "845-452-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FULTON AVENUE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12603",
"telephone_number": "845-452-1700",
"fax_number": "845-452-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULZER",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "244948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02900301",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.