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DR. JERALD ROBERT SULTZ M.D. NPI 1699842781


NPI Information

NPI: 1699842781
Provider Name: DR. JERALD ROBERT SULTZ, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1301 N FOREST RD
SUITE 1
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 634-1970
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DR. Jerald Robert Sultz, M.D. is a plastic surgery in Williamsville, NY with 40 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Jerald Robert Sultz, M.D. NPI is 1699842781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1984

The provider's business location address is:

1301 N FOREST RD
SUITE 1
WILLIAMSVILLE, NY
ZIP 14221-277
Phone: (716) 634-1970
Fax: (716) 634-3845

The NPI 1699842781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery181975NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11309949OTHERNEW YORKINDEPEDENT HEALTH
2CPS181975-4BOTHERNEW YORKWORKER'S COMPENSATION
350599OTHERNEW YORKCHOICE CARE
41320353OTHERNEW YORKUNITED EMPIRE
514394BMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
600010309402OTHERNEW YORKUNIVERA
7000524867OTHERNEW YORKBLUE CROSS BLUE SHIELD
8000524867002OTHERNEW YORKCOMMUNITY BLUE
9E92883MEDICARE UPINNEW YORK
1016-1605603OTHERNEW YORKTAX IDENTIFER
1114394BMEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.