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JESSICA SULTAN N.P.
NPI 1336555762
Nurse Practitioner - Pediatrics in New Hyde Park, NY

Active since July 07, 2014PECOS Enrolled
1510 JERICHO TPKE, NEW HYDE PARK, NY 11040(914) 819-8095 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sultan N.p. NPPES

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

JESSICA SULTAN N.P. (NPI 1336555762) is an individual pediatrics provider in New Hyde Park, New York, licensed in New York (672384) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336555762
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA SULTANCredential: N.P.
Location Address1510 JERICHO TPKENew Hyde Park, NY 11040-4730
Mailing Address1510 Jericho TpkeNew Hyde Park, NY 11040-4730 · (914) 819-8095
Phone(914) 819-8095
Sole ProprietorYes
Enumeration DateJuly 7, 2014
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1336555762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 672384
Also ListedRegistered NurseTaxonomy 163W00000X · License 672384-1 (NY)
1510 JERICHO TPKE, New Hyde Park, NY 11040
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Sultan N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 4

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

KENNETH CRYSTAL MD
Radiology (Diagnostic Radiology)
1510 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 620-9510
DR. ALLEN ROTHPEARL M.D.
Radiology (Diagnostic Radiology)
1510 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 216-5341
ALLEN ROTHPEARL IMAGING MD PC
Radiology (Diagnostic Radiology)
1510 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 620-9510
RAMI RAFAEL GROSSMANN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1510 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 352-2500

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 Jessica Sultan's NPI number?

The NPI number for Jessica Sultan is 1336555762. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Jessica Sultan located?

Jessica Sultan practices at 1510 Jericho Tpke, New Hyde Park, NY 11040. The listed phone number is (914) 819-8095.

What is Jessica Sultan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Sultan enrolled in Medicare?

Yes. Jessica Sultan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Sultan was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.