Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIDNI B JAY FULLERTON, M.D
DeactivatedDR. SIDNI B JAY FULLERTON, M.D is a Student (Health Education/Training) healthcare provider located in ENGLEWOOD, New Jersey. NPI 1811745409 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · ENGLEWOOD, NJ
This NPI has been deactivated.
The record was deactivated on January 9, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1811745409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2024 (0.67397260273973 yrs)
- Last Updated
- Feb 19, 2025
- Deactivated
- Jan 9, 2025
Practice Information
- Address
-
350 ENGLE STREET DEPARTMENT OF MEDICINE,ENGLEWOOD, NJ, 07631Browse NJ providers · Browse ZIP 07631
- Phone
- 2018943143
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in ENGLEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| GIANCARLO GOMEZ | MD | 1275772386 |
| DR. CHARLES SILBERSTEIN | MD | 1194061077 |
| PRASANNA MALLA | MD | 1629319157 |
| DR. OKECHUKWU R LINTON | M.D. | 1346582160 |
| MS. JAINAKEE OLIVIA SAROOP | LPN | 1831522291 |
| ADITI SHAH | — | 1750701876 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.