Provider Demographics
NPI:1427783992
Name:ALBERT J. SULTAN, PSY.D. LLC
Entity type:Organization
Organization Name:ALBERT J. SULTAN, PSY.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:SULTAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:732-977-1958
Mailing Address - Street 1:16 LADY BESS DR
Mailing Address - Street 2:
Mailing Address - City:DEAL
Mailing Address - State:NJ
Mailing Address - Zip Code:07723-1015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1806 HIGHWAY 35 STE 205B
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2759
Practice Address - Country:US
Practice Address - Phone:732-977-1958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty