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

Joshtin Dale Ordona Sulse

Individual provider Registered Nurse · NPI 1790675312

Joshtin Dale Ordona Sulse is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7819 91st Ave, Woodhaven, NY 11421-2935 — (347) 401-0718

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 312074 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 777310 (NY)

Record details

NPI number1790675312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Other providers in New York