Deborah Christine Sullivan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2795 Richmond Ave
Staten Island, NY 10314-5866

Phone

(718) 698-5307

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1215214572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COLTON ST APT A2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052960",
            "telephone_number": "718-720-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145866",
            "telephone_number": "718-698-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DEBORAH",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violetta Sukiasyan, SLP
• Ayub Suleiman, M.D.
• Nour Sulh
• Ciara Sullivan, LMHC
• Deborah Ann Sullivan, M.S.
• Erin Sullivan
• Felicia Ronsay Sullivan, MSW
• Jaysen Sullivan
• Karen Sullivan, MS CCC-A
• Robert-Arne B Sullivan, MD

• Community Health Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.