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

Dr. Stanford Norman Sullum, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1477660165

Dr. Stanford Norman Sullum, MD is an Obstetrics & Gynecology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

1136 5th Ave 1B
New York, NY 10128 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 876-4630
Fax: (212) 876-3478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 120964 (NY)

Record details

NPI number1477660165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJuly 8, 2007

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