DR. EDWIN J SULLIVAN DO FACOS
NPI 1477580306
Urology in Saddle Brook, NJ

Active since June 27, 2006
449 B MARKET ST, SUITE B, SADDLE BROOK, NJ 07663(201) 843-7942(201) 712-7902 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edwin J Sullivan Do Facos NPPES

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

DR. EDWIN J SULLIVAN DO FACOS (NPI 1477580306) is an individual urology provider in Saddle Brook, New Jersey, licensed in New Jersey (MB25068) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477580306
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. EDWIN J SULLIVANCredential: DO FACOS
Location Address449 B MARKET ST, SUITE BSaddle Brook, NJ 07663-8941
Mailing Address449 B Market St, Suite BSaddle Brook, NJ 07663-8941 · (201) 843-7942 · Fax (201) 712-7902
Fax(201) 712-7902
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477580306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NJ · MB25068
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

449 B MARKET ST, Saddle Brook, NJ 07663

Other Identifiers 3

Medicare ID-Type UnspecifiedSU452040NJ
Medicaid1464906NJ
Medicare UPING06219

Other Providers at the Same Location NPPES

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

Surgery
449 B MARKET ST
SADDLE BROOK, NJ 07663

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 Edwin Sullivan's NPI number?

The NPI number for Edwin Sullivan is 1477580306. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Edwin Sullivan located?

Edwin Sullivan practices at 449 B Market St Suite B, Saddle Brook, NJ 07663. The listed phone number is (201) 843-7942.

What is Edwin Sullivan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Edwin Sullivan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.