Individual provider Active NPI

Efrat Golan Sullivan

  • Hearing Instrument Specialist
  • Palm Beach Gardens, FL
National Provider Identifier
1629420781
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
25MG00140200 Issued in NJ
Practice address
10455 Riverside Dr.
Palm Beach Gardens, FL 33410-4237
Phone
(800) 528-3277
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 25MG00140200 NJ Primary

Addresses

Primary practice location

10455 Riverside Dr.
Palm Beach Gardens, FL 33410-4237

Mailing address

10455 Riverside Dr
Palm Beach Gardens, FL 33410-4237
Phone (800) 528-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MG00140200NJMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1629420781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 RIVERSIDE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104237",
            "telephone_number": "800-528-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 RIVERSIDE DR.",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104237",
            "telephone_number": "800-528-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "EFRAT",
        "middle_name": "GOLAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00140200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.