Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477580306 Individual Practitioner Male Practitioner

Dr. Edwin J Sullivan , DO FACOS

Urology • Saddle Brook, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Sullivan, DO FACOS is a registered healthcare professional specializing in Urology in Saddle Brook, NJ. Practice services are available at 449 B MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

449 B Market St
Suite B

Saddle Brook, NJ 076638941

Telephone 2018437942
Fax 2017127902
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Saddle Brook, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Saddle Brook, NJ (474 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ MB25068

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1464906 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Mahnaz Tantawi , MD

Internal Medicine

NPI 1699823328

Doctor of Medicine (M.D.)

NPI 1841227352

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 449 B MARKET ST, SUITE B, SADDLE BROOK, NJ 076638941 (Tel: 2018437942)

📍
Updated Business Mailing Address July 08, 2007

Registered at 449 B MARKET ST, SUITE B, SADDLE BROOK, NJ 076638941 (Tel: 2018437942)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWIN SULLIVAN, DO FACOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #MB25068 in NJ)

🟢
Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477580306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

449 B Market St, Suite B

Saddle Brook, NJ 076638941

Phone: 2018437942

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.