Maureen Sullivan, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F340766-1 Issued in NY

Practice address

4886 Clifton Pkwy
Hamburg, NY 14075-3302

Phone

(716) 627-3221

Fax

(716) 627-3073

NPI assigned

Feb 27, 2010

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  NPD (past)
• Sisters of Charity Hospital of Buffalo New York

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1568090660
  NPD (past)
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  NPD (past)

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

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267228800000",
    "number": "1447572748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4886 CLIFTON PKWY",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753302",
            "telephone_number": "716-627-3221",
            "fax_number": "716-627-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4886 CLIFTON PKWY",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753302",
            "telephone_number": "716-627-3221",
            "fax_number": "716-627-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-27",
        "last_updated": "2010-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340766-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Story, PHYSICIAN ASSISTANT
• Lorna Stresing, RPH
• Alyssa Ann Stroud
• Loubert Steven Suddaby, MD
• Kathleen Sullivan, CCC/SLP-L
• Kevin Richard Swarts, M.S.
• Haley Erin Swierszcz
• Melissa Mary Swinnich, MA
• Eric Alyn Syms, LPN
• Nathmal S Tarfare, MD

• Gerontology Nurse Practitioner in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.