Tory Sullivan MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME81131 Issued in FL

Legal business name

TORY SULLIVAN MD PA

Practice address

16100 NE 16TH Ave Ste a
North Miami Beach, FL 33162-4708

Phone

(305) 652-8600

Fax

(305) 652-3139

NPI assigned

Apr 18, 2007

Last updated

Nov 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tory Sullivan, MDNPI 1639137169

Title

President

Phone

(305) 652-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tory Sullivan, M.D.

  • Dermatology Physician
  • North Miami Beach, FL
  • NPI 1639137169
  Medicare reassignment Care Compare group NPD Authorized official
• Gimol Edith Anidjar, ARNP

  • Family Nurse Practitioner
  • Aventura, FL
  • NPI 1316340763
  Medicare reassignment Care Compare group NPD
• Katarzyna Bezen

  • Physician Assistant
  • North Miami Beach, FL
  • NPI 1336984525
  Medicare reassignment Care Compare group NPD
• Kristyn Marie Cullen, PA-C

  • Physician Assistant
  • Boynton Beach, FL
  • NPI 1790268894
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1881810695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 NE 16TH AVE STE A",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624708",
            "telephone_number": "305-652-8600",
            "fax_number": "305-652-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 NE 16TH AVE STE A",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624708",
            "telephone_number": "305-652-8600",
            "fax_number": "305-652-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORY SULLIVAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-652-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME81131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayanara Torres
• Jonathan Williams Torres
• Lissandra Torres
• Tania Maria Torres, NP-C
• Teycha Torres, OTR
• Total Body Healthcare , Inc.
• Total Lab Solutions Inc
• Total Renal Care Inc (Center for Kidney Disease at Venture)
• Totally General Services Inc
• Toxicology Lab Solutions

• Dermatology Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.