=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902715428
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SMSPLASTICSURGERY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2026
-----------------------------------------------------
Last Update Date | 09/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1100 PARK AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10128-1202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-660-4054
-----------------------------------------------------
Fax | 212-660-4055
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11 MOUNTAIN RD
-----------------------------------------------------
City | TENAFLY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07670-2213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-960-9203
-----------------------------------------------------
Fax | 212-660-4055
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | STEVEN MARK SULTAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 201-960-9203
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------