NPIMap

Organization Active NPI

Richard J Sullivan, M.D., P.C.

  • Primary Care Clinic/Center
  • Rome, NY
National Provider Identifier
1497024178
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
116001-1 Issued in NY
Legal business name
RICHARD J SULLIVAN, M.D., P.C.
Practice address
7904 Turin Rd
Rome, NY 13440-1933
Phone
(315) 336-3400
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Dr. Richard J Sullivan, M.D.NPI 1275607624
Title
Corporation President
Phone
(315) 336-3400

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
Primary Care Clinic/Center 261QP2300X 116001-1 NY Primary

Addresses

Primary practice location

7904 Turin Rd
Rome, NY 13440-1933

Mailing address

7904 Turin Rd
PO Box 4440
Rome, NY 13440-1933
Phone (315) 336-3400

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": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1497024178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 TURIN RD",
            "address_2": "PO BOX 4440",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134401933",
            "telephone_number": "315-336-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7904 TURIN RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134401933",
            "telephone_number": "315-336-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J SULLIVAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "315-336-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "116001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.