Active NPI
Victoria L Sully, RN
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340518
- Practice address
- 711 E 81St St
Brooklyn, NY 11236-3515 - Phone
- (347) 370-2087
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 340518 | NY | |
| Family Nurse Practitioner | 363LF0000X | F340518 | NY | Primary |
Addresses
Primary practice location
711 E 81St St
Brooklyn, NY 11236-3515
Mailing address
50 S B B King Blvd
Memphis, TN 38103-2626
Phone (901) 436-1381
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
33 Manors Dr
Jericho, NY 11753-1729
Phone 7182767935800
35 N Tyson Ave
Suite 100
Floral Park, NY 11001-1403
Phone (718) 276-7935
Hospital & facility affiliations
- Girling Health Care of New York
- Extended Home Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340518 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physician PLLC | Current | Accepting new patients | |
| Expert Medical Services LLC | Current | Accepting new patients | |
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Expert Mobile Health | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000
35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935
350 5th Ave
Fl 59
New York, NY 10118
Phone (628) 260-5154
535 5th Ave
Fl 4
New York, NY 10017
Phone (401) 324-9100
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
Interoperability endpoints
- ms_vsully1@landmarkhealth-direct.org
Organizations & group practices 4
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.
-
- Legal Medicine
- New York, NY
- NPI 1215019377
-
- General Practice Physician
- New York, NY
- NPI 1669804100
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1144314576
-
- Emergency Medicine Physician
- Floral Park, NY
- NPI 1770284226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1396836219
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1477824670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "901-436-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E 81ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363515",
"telephone_number": "347-370-2087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLY",
"first_name": "VICTORIA",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "340518",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F340518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.