Organization Active NPI

Selvaraj&Sullivan LLP

  • Internal Medicine Physician
  • Chappaqua, NY
National Provider Identifier
1699854992
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168673 Issued in NY
Legal business name
SELVARAJ&SULLIVAN LLP
Practice address
2 Jeffrey LN
Chappaqua, NY 10514-2306
Phone
(914) 980-2844
Fax
(914) 238-4215
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Brenda Lee Sullivan, MD
Title
Physician
Phone
(914) 980-2844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 168673 NY Primary

Addresses

Primary practice location

2 Jeffrey LN
Chappaqua, NY 10514-2306

Mailing address

2 Jeffrey LN
Chappaqua, NY 10514-2306
Phone (914) 980-2844

National Provider Directory

National Provider Directory

Locations

955 Yonkers Ave
Ste 110
Yonkers, NY 10704
Phone (718) 365-7255

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1699854992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JEFFREY LN",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142306",
            "telephone_number": "914-980-2844",
            "fax_number": "914-238-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JEFFREY LN",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142306",
            "telephone_number": "914-980-2844",
            "fax_number": "914-238-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELVARAJ&SULLIVAN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-980-2844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.