Sullivan Urologic Associates PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SULLIVAN UROLOGIC ASSOCIATES PLLC

Practice address

1987 State RT 52E
Colonial Square Mall Suite 4
Liberty, NY 12754-8316

Phone

(845) 292-4000

Fax

(845) 292-4001

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Josef Richter, MD

Title

President

Phone

(845) 292-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184783839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127340276",
            "telephone_number": "845-292-4000",
            "fax_number": "845-292-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 STATE RT 52E",
            "address_2": "COLONIAL SQUARE MALL SUITE 4",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127548316",
            "telephone_number": "845-292-4000",
            "fax_number": "845-292-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN UROLOGIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-292-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan County Public Health Services
• Sullivan County Public Health Services
• Sullivan County Public Health Services
• Sullivan Pharmacy Inc
• Sullivan Taxi Inc
• Amanda Sullivan, L.P.N.
• Supplies Four Health Inc.
• Cori Marie Surerus
• Jon K Sutherland, D.D.S.
• Ashley Lynn Theadore

• Urology Physician in Liberty, NY
• Providers in Liberty, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.