STANFORD N. SULLUM MD PLLC (NPI# 1417227562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417227562 |
| Entity Type | Organization |
| Organization Name | STANFORD N. SULLUM MD PLLC |
| Practice Address |
1136 5th Ave 1b New York NY 10128-0122 |
| Practice Telephone | 2128764630 |
| Practice Fax Number | 2128763478 |
| Mailing Telephone | 2128764630 |
| Mailing Fax Number | 2128763478 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | DR. STANFORD N SULLUM (OWNER) |
| Authorized Official Telephone | 2128764630 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
1136 5TH AVE 1B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-0122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232941 | Jamal Rahaman | Obstetrics & Gynecology | 1136 5th Ave, Suite 1b, New York, NY 10128-0122 | 2006-05-16 |
| 1184945578 | Jamal Rahaman Gyn Oncologist Pllc | Obstetrics & Gynecology | 1136 5th Ave, Suite 1b, New York, NY 10128-0122 | 2010-06-20 |
| 1265624415 | Marc L Patenaude | Dentist | 1136 5th Ave, New York, NY 10128-0122 | 2007-08-13 |
| 1134209984 | Steven Robert Grossman | Dentist | 1136 5th Ave, Apt 10, New York, NY 10128 | 2006-10-16 |
| 1477660165 | Stanford Norman Sullum | Obstetrics & Gynecology | 1136 5th Ave, 1b, New York, NY 10128 | 2006-08-25 |
| 1396757704 | Raymond Z Sandler | Obstetrics & Gynecology | 1136 5th Ave, New York, NY 10128-0122 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070029 | Electra Health Medical PC | Obstetrics & Gynecology | 335 Madison Ave Fl 3, New York, NY 10017-4616 | 2020-07-10 |
| 1164048021 | Park East Medical Pllc | Obstetrics & Gynecology | 870 5th Ave Apt 1b, New York, NY 10065-4907 | 2020-06-17 |
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1861955858 | New H Medical, P.C. | Obstetrics & Gynecology | 1150 Park Ave Ste 1a, New York, NY 10128-1244 | 2019-04-08 |
| 1851857379 | Broadway Gyn Office, P.c | Obstetrics & Gynecology | 4915 Broadway # 1-k, New York, NY 10034-3119 | 2019-02-20 |
| 1841755063 | Elizabeth Anne Mancuso | Obstetrics & Gynecology | 3 E 69th St, New York, NY 10021-5249 | 2019-02-01 |
| 1699239251 | Gynecology and Integrative Women's Care | Obstetrics & Gynecology | 30 E 23rd St Fl 7, New York, NY 10010-4440 | 2019-01-29 |
| 1699248542 | Great Wall Medical, P.C. | Obstetrics & Gynecology | 201e 28th Street, Suite #1b, New York, NY 10016 | 2019-01-03 |
| 1780138461 | Walk In Gyn Care, PC | Obstetrics & Gynecology | 200 W 57th St Ste 608, New York, NY 10019-3211 | 2016-08-10 |
| 1295002160 | Antoinette Danvers | Obstetrics & Gynecology | 622 W 168th Street, Ph 1669, Columbia University, New York, NY 10032 | 2011-11-21 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.