Albert Jason Sultan, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00619000 Issued in NJ

Practice address

792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271

Phone

(908) 393-1533

NPI assigned

Feb 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lynette McKeon, Psy.D., LLCGroup PAC ID 2466559943, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lynette McKeon, Psy.D., LLC

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1710104864
  Medicare reassignment Care Compare group NPD
• Albert J. Sultan, Psy.D. LLC

  • Clinical Neuropsychologist
  • Oakhurst, NJ
  • NPI 1427783992
  NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1902439987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 AVENUE V",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234938",
            "telephone_number": "732-977-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 CHIMNEY ROCK RD STE C",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362271",
            "telephone_number": "908-393-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "ALBERT",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00619000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Vincent Sofo, D.C., C.C.S.P.
• Stephanie Solaris
• Somerville Chiropractic Center PA
• Stellar Speech NJ
• Strive2Move
• Summit Medical Group PA
• The Arc of Somerset County
• Thrive ABA Family Solutions
• Christopher Rossi Tillson, DPT
• Ta-Vongala S. White, MSW, LCSW

• Psychologist in Martinsville, NJ
• Providers in Martinsville, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.

Verify at the official NPI Registry.