Robert Sullivan, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

Atria
36 E 57TH 5TH FL
New York, NY 10022

Phone

(212) 600-2000

Fax

(212) 540-0857

NPI assigned

Jun 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.sullivan.1@24265.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4

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.

• Atria Physician Practice New York, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1194487520
  NPD

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1073824801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOWE LN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283337",
            "telephone_number": "732-547-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATRIA",
            "address_2": "36 E 57TH 5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-600-2000",
            "fax_number": "212-540-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROBERT",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-26",
        "last_updated": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03267672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meg Shannon Sullivan, MD
• Melba J Sullivan, PH.D.
• Michelle Suzanne Sullivan, PA-C
• Peter Sullivan
• Richard C Sullivan, PHD
• Robert G Sullivan
• Robert Joseph Sullivan, LMHC, PMHNP-BC
• Shannon Sullivan, DDS
• Shannon Sullivan, LCSW
• Sheila Marie Sullivan, LCSW

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.