Dr Paul E Sullivan

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00267000 Issued in NJ

Legal business name

DR PAUL E SULLIVAN

Practice address

2089 Klockner Rd
Hamilton, NJ 08690-3416

Phone

(609) 324-2900

Fax

(609) 324-7156

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Edward Sullivan, D.P.MNPI 1417953647

Title

Podiatrist

Phone

(609) 890-6544

Specialties & licenses 1

Addresses

Other names 1

• Burlington Mercer Podiatry Assoc. Doing business as

Locations

Practitioners 1

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

• Paul Edward Sullivan, D.P.M.

  • Foot Surgery Podiatrist
  • Marlton, NJ
  • NPI 1417953647
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1508900531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903416",
            "telephone_number": "609-890-6544",
            "fax_number": "609-890-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903416",
            "telephone_number": "609-324-2900",
            "fax_number": "609-324-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAUL E SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "609-890-6544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00267000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Mercer Podiatry Assoc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karinn Miranda Dooley, MA, SLP-CCC
• Nicole Dorazio, DPT
• Dorvil Psychological Services
• Stephanie Dowd, LPC
• Elvira Downs, MD
• Dr. Renee Hudecheck, P. C.
• Christina A Drum, PTA
• DRX Hamilton, LLC
• Duffers LLC
• Justine Marie Duffy

• Foot Surgery Podiatrist in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.