Brendan P Sullivan, MD, FACC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA072777 Issued in NJ

Practice address

1135 Clifton Ave
Suite 206
Clifton, NJ 07013-3642

Phone

(973) 777-3286

Fax

(973) 777-0435

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brendan.sullivan.1@9690.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9690/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.

• Brendan P Sullivan MD Facc LLC

  • Cardiovascular Disease Physician
  • Ridgewood, NJ
  • NPI 1538316310
  Medicare reassignment NPD Authorized official
• GHCP Ekg Interpretation Panel, LLC

  • Specialist
  • Passaic, NJ
  • NPI 1669697009
  Medicare reassignment NPD
• Sovereign Medical Group LLC

  • Urology Physician
  • Oradell, NJ
  • NPI 1710282082

  Internal Medicine

  Medicare reassignment NPD
• Brendan P Sullivan MD Facc LLC

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1679975692
  NPD
• Sovereign Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Glen Rock, NJ
  • NPI 1801266275
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation
• Valley Home Care, Inc

  • Home Health Agency
  • Paramus, NJ
  • NPI 1174588925
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1174521140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "address_2": "SUITE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "973-777-3286",
            "fax_number": "973-777-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "address_2": "SUITE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "973-777-3286",
            "fax_number": "973-777-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRENDAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA072777",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA072777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Stroedecke, PHARM.D.
• Kikki Su-Uy
• Andrea G Suarez-Pyndus, LSW
• Ari Jonathan Sugarman, DMD
• Zehal Suliman
• Jared M. Sullivan, M.D.
• Hassam Chauhdry Sultan, DMD,MS,FAAPD
• Yasmeen Sultana, MD
• Attefa Sultani Delgiodice, O.D. F.A.A.O
• Anna Sumerlin, LPC

• Cardiovascular Disease Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.