GERALYN M SULLIVAN


Address: 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500
Phone: 8564288992

GERALYN M SULLIVAN (NPI# 1013221050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013221050
Entity Type Individual
Full Name GERALYN M SULLIVAN
Credential APN
Practice Address 401 Kings Hwy S
Building 5
Cherry Hill
NJ 08034-2500
Mailing Address 121 Manheim Ave
Oaklyn
NJ 08107-1437
Practice Telephone 8564288992
Practice Fax Number 8564289614
Mailing Telephone 6096027091
Enumeration Date 2010-08-02
Last Update Date 2017-01-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health 		26NJ00294700 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ DIVISION OF CONSUMER AFFAIRS 26NO11108000 01
NJ DIVISION OF CONSUMER AFFAIRS 26NJ00294700 01

Office Location

Street Address 401 KINGS HWY S
BUILDING 5
City CHERRY HILL
State NJ
Zip Code 08034-2500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730171893 Brian E. Michel Internal Medicine 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500 2005-08-16
1801417936 Harmony Healing Center, LLC Substance Abuse Rehabilitation Facility 401 Kings Hwy S, Cherry Hill, NJ 08034-2500 2020-04-29
1124531751 Cornerstone Foot & Ankle Podiatrist 401 Kings Hwy S, Cherry Hill, NJ 08034-2500 2017-11-06
1528446697 Urime Osmani Nurse Practitioner 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500 2015-05-11
1386909398 Alyssa Rae Nielubowicz Dentist 401 Kings Hwy S, Suite 2a, Cherry Hill, NJ 08034-2500 2012-07-06
1457632572 Karandeep S. Jagpal Internal Medicine 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500 2011-09-02
1518109834 Brijesh S. Bodiwala Internal Medicine 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500 2009-04-01
1386881928 Daniel Ra Internal Medicine 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500 2009-01-20
1316128291 Richard L Specter Internal Medicine 401 Kings Hwy S, Building 5, Cherry Hill, NJ 08034-2500 2007-11-19
1780703603 Marco P Holgado Dentist 401 Kings Hwy S, Suite 2a, Cherry Hill, NJ 08034-2500 2007-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821606054 Glickman Psychological Services, LLC Psychologist 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 2020-07-14
1215455225 Arc of Camden County Millhurst Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 2017-08-30
1144748120 Arc of Camden County Chanticleer Drive Supported Living Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 712 Chanticleer Drive, Cherry Hill, NJ 08034 2017-08-30
1124558689 1 Choice Home Health Care, LLC Home Health 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 2017-06-18
1205362621 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 Wayland Rd, Cherry Hill, NJ 08034 2017-05-04
1598291940 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Brookdale Dr, Cherry Hill, NJ 08034 2017-05-04
1861928285 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Portsmouth Rd, Cherry Hill, NJ 08034 2017-05-04
1265967954 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Farmhouse Ln, Maple Shade, NJ 08034 2017-05-01
1023543709 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Cranford Rd, Cherry Hill, NJ 08034 2017-05-01
1588199269 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Colgate Drive, Cherry Hill, NJ 08034 2017-05-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417259797 Andrea M Aquilino Nurse Practitioner 2 Esterbrook Ln, Cherry Hill, NJ 08003-4002 2010-11-19
1679882740 Hermina Yvonne Waters Nurse Practitioner 1017 Abington Rd, Cherry Hill, NJ 08034-3903 2010-10-06
1619079761 Fran Rosenfeld Nurse Practitioner 100 Gainsboro Rd, Cherry Hill, NJ 08003-1521 2006-09-01
1508897240 Juvy M Montecalvo-acosta Nurse Practitioner 39 Brace Rd, Cherry Hill, NJ 08034-2624 2006-07-05
1902884794 Linda A Hurd Nurse Practitioner 1400 Route 70 East, Cherry Hill, NJ 08034-2240 2006-01-03
1912988957 Rebecca Hilgen Bryan Nurse Practitioner 511 Kings Hwy N, Cherry Hill, NJ 08034-1503 2005-11-08
1740802461 Laura Lyn Barrett Nurse Practitioner 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945 2020-05-15
1417445339 Gina Marie Mariani Nurse Practitioner 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 2018-04-26
1487195525 Josemari Lazaro Nurse Practitioner 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 2017-03-08
1174981187 Adrianne Ortega Nurse Practitioner 101 Barclay Pavilion W, Cherry Hill, NJ 08034-2139 2016-02-04
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Competitor

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City CHERRY HILL
Zip Code 08034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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