Maura Pegeen Sullivan-Maloney, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

044120 Issued in NY

Practice address

41-40 27TH Street
Long Island City, NY 11101

Phone

(718) 784-2240

Fax

(914) 965-4724

NPI assigned

Nov 9, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1376844282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-40 27TH STREET",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014016",
            "telephone_number": "718-784-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-40 27TH STREET",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "718-784-2240",
            "fax_number": "914-965-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-MALONEY",
        "first_name": "MAURA",
        "middle_name": "PEGEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03558707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Suarez, RN
• Hanan Subeh
• Chaitra Subramanya
• Jungsik Suh I
• Cherika Sukhnandan
• Al Saba Sultana
• Katherine Yuri Sumantri
• Isatou S Sumbundu
• Amanda Sun, MS RDN CDN LD
• Paula Jean Tanchico Sun

• Dentist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.