RICHARD I SULTAN D.O.
NPI 1295700359
Psychiatry & Neurology - Neurology in Neptune, NJ

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1900 CORLIES AVE, NEPTUNE, NJ 07753(732) 775-2400(732) 775-5673 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richard I Sultan D.o. NPPES

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

RICHARD I SULTAN D.O. (NPI 1295700359) is an individual neurology provider in Neptune, New Jersey, licensed in New Jersey (25MB05275400) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1983).

NPPES Registry Identity

NPI1295700359
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRICHARD I SULTANCredential: D.O.
Location Address1900 CORLIES AVENeptune, NJ 07753-4800
Mailing Address1900 Corlies AveNeptune, NJ 07753-4800 · (732) 775-2400 · Fax (732) 775-5673
Fax(732) 775-5673
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1983
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1295700359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MB05275400
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1900 CORLIES AVE, Neptune, NJ 07753

Other Identifiers 1

Medicaid6040501NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard I Sultan D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567431281
PECOS Enrollment IDI20040929000948
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Sultan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
1900 CORLIES AVE
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 12

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

Clinical Medical Laboratory
1900 CORLIES AVE, 1ST FLOOOR
NEPTUNE, NJ 07753
Psychiatry & Neurology (Neurology)
1900 CORLIES AVE
NEPTUNE, NJ 07753
Internal Medicine (Cardiovascular Disease)
1900 CORLIES AVE, FL 2
NEPTUNE, NJ 07753
Psychiatry & Neurology (Neurology)
1900 CORLIES AVE
NEPTUNE, NJ 07753
Internal Medicine (Clinical Cardiac Electrophysiology)
1900 CORLIES AVE, 2ND FLOOR
NEPTUNE, NJ 07753
Internal Medicine (Interventional Cardiology)
1900 CORLIES AVE
NEPTUNE, NJ 07753
Psychiatry & Neurology (Neurology)
1900 CORLIES AVE
NEPTUNE, NJ 07753
Nurse Practitioner (Family)
1900 CORLIES AVE
NEPTUNE, NJ 07753

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 Richard Sultan's NPI number?

The NPI number for Richard Sultan is 1295700359. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Richard Sultan located?

Richard Sultan practices at 1900 Corlies Ave, Neptune, NJ 07753. The listed phone number is (732) 775-2400.

What is Richard Sultan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Richard Sultan enrolled in Medicare?

Yes. Richard Sultan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Sultan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Sultan reassigns Medicare benefits to 3 organizations: Jersey Shore Neurology Associates, P.A. (Neptune, NJ), Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Sultan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Sultan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Richard Sultan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Sultan affiliated with any hospitals?

According to CMS data, Richard Sultan is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Sultan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.