Brendan P Sullivan MD Facc LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA07277700 Issued in NJ

Legal business name

BRENDAN P SULLIVAN MD FACC LLC

Practice address

1135 Clifton Ave
Clifton, NJ 07013-3642

Phone

(973) 777-3286

Fax

(973) 777-0435

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Skowron

Title

Office Manager

Phone

(973) 777-3286

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brendan P Sullivan MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brendan P Sullivan MD Facc LLC

  • Cardiovascular Disease Physician
  • Ridgewood, NJ
  • NPI 1538316310
  NPD tax ID

Locations

Practitioners 1

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

• Brendan P Sullivan, MD, FACC

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1174521140
  NPD

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1679975692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "address_2": "SUITE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "973-777-3286",
            "fax_number": "973-777-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "973-777-3286",
            "fax_number": "973-777-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDAN P SULLIVAN MD FACC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "SKOWRON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-777-3286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07277700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Boyer
• Kaderia I Boykins
• Elizabeth A Boyle, MD
• Jennifer L Brandt, LCSW
• Julie Pamela Bravo, LSW, CADC
• Lorraine Brenner, D.M.D
• Tanya Bressel
• Broad Street Surgical Center, LLC
• Broad Street Wellness Center
• Andrew Broadfoot

• Cardiovascular Disease Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.