Janet N. Sullivan, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

208738 Issued in NY

Practice address

303 S Broadway
Suite 321
Tarrytown, NY 10591-5413

Phone

(914) 631-1611

Fax

(914) 631-1615

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.mvphealthcare.com/Patientfhirapi

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.

• Hudson Health Plan Cid Project

  • Case Management Agency
  • Tarrytown, NY
  • NPI 1053545814
  NPD (past)
• Hudson Valley Care Coalition

  • Case Management Agency
  • Tarrytown, NY
  • NPI 1053683748
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316978042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOLLY DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012302",
            "telephone_number": "914-576-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "address_2": "SUITE 321",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915413",
            "telephone_number": "914-631-1611",
            "fax_number": "914-631-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JANET",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-062065",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "208738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0947891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kisha Stewart
• Renee Stewart, LMSW
• Margaret A Stillman, MD
• Nicole Marie Struensee, LCSW
• Student Assistance Services Corporation
• Stephen P Sullivan, MD
• Sun River Health Inc
• Walter Bohdan Szpur, M.D.
• Agnieszka Tachkov, PTA
• Richard S. Talan, D.D.S.

• Dermatology Physician in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.