MS. DENISE LUISE SULLIVAN (NPI# 1104996164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104996164 |
| Entity Type | Individual |
| Full Name | MS. DENISE LUISE SULLIVAN |
| Credential | APRN |
| Practice Address |
1400 Pelham Pkwy S Jacobi Medical Center Building 1 Room 1226 Bronx NY 10461-1138 |
| Mailing Address |
2217 Sultana Dr Yorktown Heights NY 10598-3704 |
| Practice Telephone | 7189186867 |
| Practice Fax Number | 7189187902 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F304055 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451752 | Denise Miller Sullivan | Physical Therapist | 1198 Weatherstone Dr Ne, Atlanta, GA 30324-4643 | 2019-01-13 |
| 1306151261 | Denise Sullivan | Occupational Therapist | 357 Tuttle Road, Cumberland, ME 04021 | 2010-08-16 |
| 1184826653 | Denise C Sullivan | Developmental Therapist | 908 Vaughn Ct, Sycamore, IL 60178-2036 | 2007-06-05 |
| 1720489073 | Denise Sullivan | Physical Therapist | 4407 N Grandview Ave, Odessa, TX 79762-5311 | 2014-09-05 |
| 1659676294 | Denise Ellen Sullivan | Social Worker | 275 Turnpike St, Canton, MA 02021 | 2011-01-12 |
| 1477750016 | Denise L Sullivan | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-06-28 |
| 1477523124 | Denise J. Sullivan | Technician, Other | Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2006-01-25 |
| Street Address |
1400 PELHAM PKWY S JACOBI MEDICAL CENTER BUILDING 1 ROOM 1226 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417942202 | Hale I Perlmutter | Physician Assistant | 1400 Pelham Pkwy S, Building 1 Psychiatry, Bronx, NY 10461-1138 | 2005-09-16 |
| 1992305213 | Heesun Huh | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-10-27 |
| 1366059461 | Lifan Liang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-23 |
| 1891301792 | Felipe Jorge Simoes Jones | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Jacobi Medical Center, Bronx, NY 10461 | 2020-09-17 |
| 1700491875 | Amr Walid Aljaerh | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-09-15 |
| 1669087508 | Ahmad Anjum | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-08 |
| 1144831744 | Paras Malik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-17 |
| 1508477167 | Maria Gabriela Rubianes Guerrero | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-08-16 |
| 1215548763 | Sneha Nandy | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-10 |
| 1801406368 | Ajita Naik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1205449113 | Alexandra Gomez | Nurse Practitioner | 2521 Hone Ave, Bronx, NY 10469-4401 | 2020-08-29 |
| 1457979510 | Judith Brady | Nurse Practitioner | 3240 Paulding Ave, Bronx, NY 10469-3843 | 2020-07-06 |
| 1023650850 | Andrew Lai | Nurse Practitioner | 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 | 2019-10-14 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1649794744 | Natasha Ann Pinheiro | Nurse Practitioner | 441 E Fordham Rd Lowr Level, Bronx, NY 10458-5149 | 2017-07-31 |
| 1467984633 | Analiza Benjamin | Nurse Practitioner | 1930 Mulford Ave, Bronx, NY 10461-4009 | 2017-03-28 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1790113355 | Marisa Brown | Nurse Practitioner | 245 Admiral Ln, Bronx, NY 10473-2446 | 2013-10-17 |
| 1568704591 | Sophia Nurani | Nurse Practitioner | 3144 3rd Ave, Bronx, NY 10451-4629 | 2013-03-15 |
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| 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.