NPIMap

Organization Active NPI

Sultan Seretis Bussey Hospitalist LLC

  • Family Medicine Physician
  • Salem, NJ
National Provider Identifier
1457792699
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06336400 Issued in NJ
Legal business name
SULTAN SERETIS BUSSEY HOSPITALIST LLC
Practice address
310 Route 45
Salem, NJ 08079-2064
Phone
(856) 912-0412
Fax
(856) 221-7278
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Wamiq Sultan, MD
Title
Owner/Partner
Phone
(856) 912-0412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 25MA06336400 NJ Primary

Addresses

Primary practice location

310 Route 45
Salem, NJ 08079-2064

Mailing address

PO Box 461
Salem, NJ 08079-0461
Phone (856) 912-0412

Other names 1

  • SSB Hospitalist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1457792699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080790461",
            "telephone_number": "856-912-0412",
            "fax_number": "856-221-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ROUTE 45",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792064",
            "telephone_number": "856-912-0412",
            "fax_number": "856-221-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTAN SERETIS BUSSEY HOSPITALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "WAMIQ",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "856-912-0412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06336400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSB Hospitalist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.