Individual provider Active NPI

Chantae Sullivan-Pyke, MD, MTR

  • Reproductive Endocrinology Physician
  • Commack, NY
National Provider Identifier
1053601971
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
272837 Issued in NY
Practice address
500 Commack Rd Unit 202
Commack, NY 11725-5022
Phone
(631) 638-4600
Fax
(631) 520-2561
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 272837 NY Primary

Addresses

Primary practice location

500 Commack Rd Unit 202
Commack, NY 11725-5022

Mailing address

500 Commack Rd Unit 202
Commack, NY 11725-5022
Phone (631) 638-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811002136 NY Practitioner - Obstetrics/Gynecology 4183007917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC PastSince Aug 7, 2022 Accepting new patients
Peter Charles Klatsky MD Fertility PC Reproductive Endocrinology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: csullivanpyke755317@nyumc.direct-ci.com
  • Direct secure messaging: css9008@direct.nyp.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1053601971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 202",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-638-4600",
            "fax_number": "631-520-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 202",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-638-4600",
            "fax_number": "631-520-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-PYKE",
        "first_name": "CHANTAE",
        "name_prefix": "Dr.",
        "credential": "MD, MTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2022-08-04",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "272837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.