Sabin J. Sullivan, MD, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

77199 Issued in MA

Legal business name

SABIN J. SULLIVAN, MD, PC

Practice address

975 Massachusetts Ave
Arlington, MA 02476-4546

Phone

(781) 643-8556

Fax

(781) 643-8545

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sabin J Sullivan, MD

Title

President

Phone

(781) 643-8556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1902074222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764546",
            "telephone_number": "781-643-8556",
            "fax_number": "781-643-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764546",
            "telephone_number": "781-643-8556",
            "fax_number": "781-643-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABIN J. SULLIVAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SABIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-643-8556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "77199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Adam Russell, LMFT
• Elisabeth Rutchick, MA, LMHC
• Ruth E Lewis PHD LLC
• Margaret A Ryding, LIC. AC.
• Sara E Saba-Sher, M.S. CCC SLP
• Cameron Bohn Sacarny
• Stanley E. Sagov, MD
• Vanessa A Salas-Wright, LICSW
• Claudia Saleeby, OTR/L
• Samantha Dutra, LLC

• Pediatrics Physician in Arlington, MA
• Providers in Arlington, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.