Dr Edwin J Sullivan, DO FACOS is a
Urology physician based in Saddle Brook, New Jersey. Dr Edwin J Sullivan is licensed to practice in New Jersey (license number MB25068) and his current practice location is 449 B Market St, Suite B, Saddle Brook, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 843-7942.
NPI number for Dr Edwin J Sullivan is 1477580306 and his current mailing address is 449 B Market St, Suite B, Saddle Brook, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477580306.
Physician's Profile
| Full Name | Dr Edwin J Sullivan |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Location | 449 B Market St, Saddle Brook, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477580306
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Edwin J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477580306 | NPI | - | NPPES |
| 1464906 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MB25068 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edwin J Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edwin J Sullivan, DO FACOS
449 B Market St, Suite B,
Saddle Brook, NJ 07663-8941
Ph: (201) 843-7942 | Dr Edwin J Sullivan, DO FACOS
449 B Market St, Suite B,
Saddle Brook, NJ 07663-8941
Ph: (201) 843-7942 |
Reviews and Comments