Organization Active NPI

Peter G Sultan MD PC

  • Orthopaedic Surgery Physician
  • Riverhead, NY
National Provider Identifier
1376591701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PETER G SULTAN MD PC
Practice address
31 Main Rd
Suite 3
Riverhead, NY 11901-1900
Phone
(631) 727-6308
Fax
(631) 369-8129
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peter G Sultan, MD
Title
President
Phone
(631) 727-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

31 Main Rd
Suite 3
Riverhead, NY 11901-1900

Mailing address

31 Main Rd
Suite 3
Riverhead, NY 11901-1900
Phone (631) 727-6308

National Provider Directory

National Provider Directory

Locations

31 Main Rd
Ste 3
Riverhead, NY 11901
Phone (631) 405-3238

31 Main Rd
Riverhead, NY 11901
Phone (631) 727-6308

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376591701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN RD",
            "address_2": "SUITE 3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011900",
            "telephone_number": "631-727-6308",
            "fax_number": "631-369-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN RD",
            "address_2": "SUITE 3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011900",
            "telephone_number": "631-727-6308",
            "fax_number": "631-369-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER G SULTAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-727-6308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.