NPIMap

Individual provider Active NPI

Maura Sullivan, MD

  • Family Medicine Physician
  • Hudson, NY
National Provider Identifier
1902838071
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210157 Issued in NY
Practice address
2400 US Route 9
Hudson, NY 12534-4725
Phone
(518) 537-4900
Fax
(518) 537-5977
NPI assigned
Jul 7, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210157 NY Primary

Addresses

Primary practice location

2400 US Route 9
Hudson, NY 12534-4725

Mailing address

28 Carriage Dr
Red Hook, NY 12571-1230

Other identifiers 1

IdentifierTypeStateIssuer
01857643MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201001062 NY Practitioner - Family Practice 3971569997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Ave Family Med PLLCGroup PAC ID 0648169037, 9 clinicians

Practice addresses (Care Compare)

211 Hurley Ave
Kingston, NY 12401-2400
Phone (845) 339-2804

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Ave Family Med PLLC Family Medicine CurrentSince Nov 26, 2018 Accepting new patients
Hudson Valley Family Practice Associates, P.C. Family Medicine Current Accepting new patients
Hurley Avenue Medicine Community Care Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hurley Avenue Family Medicine Family Medicine Past Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients
Nuvance Health Medical Practice PC Past Accepting new patients

Locations

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

2400 US Route 9
Hudson, NY 12534
Phone (518) 537-4900

211 Hurley Ave
Kingston, NY 12401
Phone (845) 339-2804

99 Golden Hill Dr
Saint Remy, NY 12401
Phone (845) 240-4299

3190 Route 9W
Saugerties, NY 12477
Phone (845) 246-2836

Interoperability endpoints

  • Direct secure messaging: msullivan@hafm.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1902838071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CARRIAGE DR",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 US ROUTE 9",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125344725",
            "telephone_number": "518-537-4900",
            "fax_number": "518-537-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.