Megan Sullivan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1231 Deer Park Ave
North Babylon, NY 11703-3104

Phone

(631) 667-0388

Fax

(631) 968-7705

NPI assigned

Jan 8, 2020

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.32 of 100Reported as group

Quality

73.65

Promoting interoperability

95

Improvement activities

40

Cost

71.58

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: megan.sullivan@lcmc.eclinicaldirectplus.com

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 Comprehensive Medical Care PLLC

  • Internal Medicine Physician
  • North Babylon, NY
  • NPI 1043588536
  Medicare reassignment
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  NY

  Medicare reassignment
• Shahzad Iqbal Physician PLLC

  • Gastroenterology Physician
  • Queens Village, NY
  • NPI 1316331168
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1245870229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHURCH AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033104",
            "telephone_number": "631-667-0388",
            "fax_number": "631-968-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "117513902",
            "country_code": "US",
            "telephone_number": "631-942-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stand-Up MRI of Deer Park, P.C.
• Aileen M Stewart, OT
• Lorraine M Stidd, LCSW
• Melisa Stolberg-Beck
• Tiffany Stumpf
• Sunset Eyecare PC
• Sunsetcity Eyewear
• Nicholas Richard Sutherland, PHARMD
• Jean Emelda Swan
• Alyson Szczesniak, BA,MA,ATR-BC,LCAT

• Physician Assistant in North Babylon, NY
• Providers in North Babylon, 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 Feb 7, 2020; 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.