Active NPI
Samuel Sultan, M.D.
- Transplant Surgery Physician
- Hackensack, NJ
National Provider Identifier
1497997837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 25MA11131700
- Practice address
- 20 Prospect Ave
Hackensack, NJ 07601-1997 - Phone
- (551) 996-2608
- NPI assigned
- Mar 31, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 261664 | NY | |
| Surgery Physician | 208600000X | 261664 | NY | |
| Transplant Surgery Physician | 204F00000X | 25MA11131700 | NJ | Primary |
Addresses
Primary practice location
20 Prospect Ave
Hackensack, NJ 07601-1997
Mailing address
20 Prospect Ave
Hackensack, NJ 07601-1997
Phone (551) 996-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Prospect Ave
Hackensack, NJ 07601-1997
Phone (551) 996-5045
Hospital & facility affiliations
- Hackensack University Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Surgery | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Transplant Surgery | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Surgery | Past | Accepting new patients |
Locations
102 James St
Ste 203
Edison, NJ 08820
Phone (551) 996-4849
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816
20 Prospect Ave
Ste 406
Hackensack, NJ 07601
Phone (551) 996-2608
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
50 E 69th St
New York, NY 10021
Phone (212) 570-4000
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Interoperability endpoints
- samuel.sultan@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Transplant Surgery
-
- Surgery Physician
- New York, NY
- NPI 1669579017
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Surgery
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1497997837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011997",
"telephone_number": "551-996-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011997",
"telephone_number": "551-996-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-31",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NY",
"license": "261664",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "261664",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NJ",
"license": "25MA11131700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.