Active NPI
Ronald Sultan, M.D.
- Surgery Physician
- Jersey City, NJ
National Provider Identifier
1962403147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA03509000
- Practice address
- 2255 Kennedy Blvd
Jersey City, NJ 07304-1428 - Phone
- (201) 434-3305
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA03509000 | NJ | Primary |
Addresses
Primary practice location
2255 Kennedy Blvd
Jersey City, NJ 07304-1428
Mailing address
11 Swayze St
West Orange, NJ 07052-2025
Phone (201) 434-3305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3046702 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000032 | NJ | Practitioner - General Surgery | 3779607346 | Practice locations: Jersey City, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York University School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2255 John F Kennedy Blvd
Jersey City, NJ 07304-1428
Phone (201) 434-3305
Hospital & facility affiliations
- Jersey City Medical Center
- Carepoint Health - Bayonne Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Past | Accepting new patients | |
| Shulman Urology PA | Past | Accepting new patients | |
| Urology Specialty Care PA | Past | Accepting new patients |
Interoperability endpoints
- ronald.sultan@direct.christhospital.md
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Specialist
- Jersey City, NJ
- NPI 1457444242
-
- Radiation Oncology Physician
- Hackensack, NJ
- NPI 1326330366
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bayonne, NJ
- NPI 1821101239
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1962403147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SWAYZE ST",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522025",
"telephone_number": "201-434-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041428",
"telephone_number": "201-434-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA03509000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3046702",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.