Individual provider Active NPI

Suleyman Ender Dolen, MD

  • Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1548225493
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
132824 Issued in NY
Practice address
89-06 135TH Street
Suite 6S
Jamaica, NY 11418
Phone
(718) 206-6708
Fax
(718) 206-6706
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 132824 NY Primary

Addresses

Primary practice location

89-06 135TH Street
Suite 6S
Jamaica, NY 11418

Mailing address

80 Marcus Drive
Provider Enrollment
Melville, NY 11747
Phone (631) 391-7889

Other identifiers 1

IdentifierTypeStateIssuer
02205690MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
132824NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital Medical Center Past Accepting new patients
Lone Star OB/GYN Associates, P.a. PastSince Oct 15, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1548225493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MARCUS DRIVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-391-7889",
            "fax_number": "631-454-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-06 135TH STREET",
            "address_2": "SUITE 6S",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-206-6708",
            "fax_number": "718-206-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEN",
        "first_name": "SULEYMAN",
        "middle_name": "ENDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "132824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.