Meagan M Sullivan

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309601 Issued in NY

Practice address

910 Route 109 Ste a
Lindenhurst, NY 11757-1158

Phone

(631) 991-3235

Fax

(631) 397-0919

NPI assigned

Mar 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Medical Care Services PCGroup PAC ID 8921999541, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDFCBA/Endpoint/EDFCBA

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.

• Long Island Medical Care Services PC

  • Internal Medicine Physician
  • West Babylon, NY
  • NPI 1245420249
  Medicare reassignment Care Compare group NPD
• HP Medical Care PC

  • Urgent Care Clinic/Center
  • Forest Hills, NY
  • NPI 1356731202
  Medicare reassignment NPD
• Physical Medicine & Rehabilitation of Long Island

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brightwaters, NY
  • NPI 1003293366
  NPD (past)

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1225664170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ROUTE 109 STE A",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571158",
            "telephone_number": "631-383-9967",
            "fax_number": "631-397-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ROUTE 109 STE A",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571158",
            "telephone_number": "631-991-3235",
            "fax_number": "631-397-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Route 109 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "117571158",
            "country_code": "US",
            "telephone_number": "631-383-9967",
            "fax_number": "631-397-0919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEAGAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "309601",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "309601",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Stoppelli, PA STUDENT
• Erica Emma Suib
• Reyhan Hannah Suleymani, D.O.
• Sullivan Counseling Incorporated
• Dianna Sullivan, NP
• Suzanne Sullivan, LPN
• Sunrise ENT PC
• Tetyana Sushchak, PA
• Sierra L Swaby
• Pamela Swan, N.P.

• Adult Health Nurse Practitioner in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.