Organization Active NPI

Norma Sullivan

  • Health Maintenance Organization
  • Rego Park, NY
National Provider Identifier
1326407263
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
315747 Issued in NY
Legal business name
NORMA SULLIVAN
Practice address
6115 98TH St Apt 1J
Rego Park, NY 11374-1407
Phone
(718) 592-8275
NPI assigned
Feb 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Ms. Norma Cecilia SullivanNPI 1316392491
Title
Registered Nurse
Phone
(718) 592-8275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 315747 NY Primary

Addresses

Primary practice location

6115 98TH St Apt 1J
Rego Park, NY 11374-1407

Mailing address

6115 98TH St Apt 1J
Rego Park, NY 11374-1407
Phone (718) 592-8275

Other identifiers 1

IdentifierTypeStateIssuer
103-28-6038-AOtherNYMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1326407263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 98TH ST APT 1J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741407",
            "telephone_number": "718-592-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 98TH ST APT 1J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741407",
            "telephone_number": "718-592-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "718-592-8275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "315747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103-28-6038-A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.