Christopher Douglas Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00718600 Issued in NJ

Practice address

919 Raymere Ave
Ocean, NJ 07712-4111

Phone

(502) 724-0263

NPI assigned

Oct 27, 2014

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optimum Chiropractic LLC

  dba Optimum Chiropractic

  • Sports Physician Chiropractor
  • Eatontown, NJ
  • NPI 1346854197
  Medicare reassignment NPD Authorized official
• Perform and Recover

  • Clinic/Center
  • Eatontown, NJ
  • NPI 1225678733
  NPD

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1952706442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 RAYMERE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 RAYMERE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124111",
            "telephone_number": "502-724-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00718600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan G. Stern, DDS
• Denise E Stevens-Jones, LCSW
• Chelsea Stratowski
• Suleiman Yousef Sudah, MD
• Carolyn Suhocki, LCSW
• Tina Sun, RPH(PHARMACIST)
• Sunset Dental
• Stephanie Surgent, LSW
• Surgical First Assistant Services
• Edward Szatmary

• Chiropractor in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.