DR. MARK SULTAN M.D.
NPI 1043351497
Specialist in New York, NY

Q: What is Mark Sultan's NPI number?

The NPI number for Mark Sultan is 1043351497. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Mark Sultan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Mark Sultan enrolled in Medicare?

No. Mark Sultan has opted out of Medicare through July 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mark Sultan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2007Opted out of Medicare · through Jul 8, 2027

1100 PARK AVE, NEW YORK, NY 10128(212) 360-0700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Mark Sultan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK SULTAN M.D. (NPI 1043351497) is an individual specialist in New York, New York, licensed in New York (161962-1) and active in the NPI registry since February 2007. He has opted out of Medicare through July 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043351497

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MARK SULTANCredential: M.D.

Location Address1100 PARK AVENew York, NY 10128-1202

Mailing Address116 Lincoln StEnglewood, NJ 07631-3117 · (201) 871-4739

Phone(212) 360-0700

Sole ProprietorYes

Enumeration DateFebruary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043351497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 161962-1

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1100 PARK AVE, New York, NY 10128

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE71279NY

Medicare ID-Type Unspecified48F481NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark Sultan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2013 through July 8, 2027.

Opt-Out Effective DateJuly 8, 2013

Opt-Out In Effect ThroughJuly 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH RISA SCHWARZ M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1100 PARK AVE, SUITE 1B
NEW YORK, NY 10128

New York County (212) 289-6893

SUSAN CAROL WOLF

Obstetrics & Gynecology (Gynecology)

1100 PARK AVE
NEW YORK, NY 10128

New York County (212) 249-3314

GLENN S. HAMMER, M.D., P.C.

Internal Medicine (Infectious Disease)

1100 PARK AVE, SUITE 1C
NEW YORK, NY 10128

New York County (212) 427-9550

BURT ROBERT MEYERS M.D.

Internal Medicine (Clinical & Laboratory Immunology)

1100 PARK AVE
NEW YORK, NY 10128

New York County (212) 427-9550

MARISSA NICOLE SOSA

Physician Assistant

1100 PARK AVE
NEW YORK, NY 10128

New York County (212) 360-0700

DR. HERMAN ROSEN M.D.

Internal Medicine (Nephrology)

1100 PARK AVE
NEW YORK, NY 10128

New York County (212) 369-6228

DR. ERIC P. NEIBART M.D.

Internal Medicine (Infectious Disease)

1100 PARK AVE, SUITE 1C
NEW YORK, NY 10128

New York County (212) 427-9550

DR. EFRAT AHARONOVICH PHD

Psychologist (Addiction (Substance Use Disorder))

1100 PARK AVE, SUITE 1B
NEW YORK, NY 10128

New York County (212) 289-8139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Sultan's NPI number?

The NPI number for Mark Sultan is 1043351497. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Mark Sultan located?

Mark Sultan practices at 1100 Park Ave, New York, NY 10128. The listed phone number is (212) 360-0700.

What is Mark Sultan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Sultan enrolled in Medicare?

No. Mark Sultan has opted out of Medicare through July 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Sultan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.