OrganizationActive
Stanford N. Sullum MD PLLC
NPI 1417227562 · Gynecology Physician · New York, NY
Stanford N. Sullum MD PLLC is a Gynecology Physician organization in New York, NY (NPI 1417227562).
Provider details
- NPI number
- 1417227562
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanford Sullum, Owner(212) 876-4630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1136 5th Ave
1b
New York, NY 10128-0122
Phone: (212) 876-4630
Fax: (212) 876-3478
Street-level locationGet directions
Mailing address
1136 5th Ave
New York, NY 10128-0122
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-01-06
Frequently asked questions
- What is Stanford N. Sullum MD PLLC's NPI number?
- Stanford N. Sullum MD PLLC's National Provider Identifier (NPI) is 1417227562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stanford N. Sullum MD PLLC?
- Stanford N. Sullum MD PLLC is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Stanford N. Sullum MD PLLC located?
- Stanford N. Sullum MD PLLC's practice location on file with NPPES is 1136 5th Ave, New York, NY 10128-0122.
- What is Stanford N. Sullum MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stanford N. Sullum MD PLLC is (212) 876-4630.
- Who is the authorized official for Stanford N. Sullum MD PLLC?
- The authorized official listed on Stanford N. Sullum MD PLLC's NPPES record is Stanford Sullum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stanford N. Sullum MD PLLC's NPI active?
- Yes — Stanford N. Sullum MD PLLC's NPI (1417227562) is active in the NPPES registry as of the last update on 2012-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.