Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sidni B Jay Fullerton, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811745409

Dr. Sidni B Jay Fullerton, MD is a Student in an Organized Health Care Education/Training Program in Englewood, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Engle St Dept OF Medicine
Englewood, NJ 07631
Phone: (201) 894-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811745409
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESFebruary 19, 2025

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