Daniel James Sullivan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003134 Issued in NY

Practice address

737A Lydig Ave
Bronx, NY 10462-2103

Phone

(718) 824-7333

Fax

(631) 549-3267

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Daniel Sullivan DPM

  • Foot Surgery Podiatrist
  • Bronx, NY
  • NPI 1568646933
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1699776849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737A LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622103",
            "telephone_number": "718-824-7333",
            "fax_number": "631-549-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737A LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622103",
            "telephone_number": "718-824-7333",
            "fax_number": "631-549-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00492131",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Sullivan-Wolfson
• Carolina Sullivan, NUTRITIONIST
• Christina K Sullivan, MD
• Christine E Sullivan, LMSW
• Christine Hope Sullivan, LMSW
• Denise Luise Sullivan, APRN
• Erin Kathleen Sullivan, OTR/L
• Jacqueline Gloria Sullivan, PA
• Josephine Elisabeth Sullivan, DDS
• Judith Ann Sullivan, LPN

• Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.