MR. JEREMY ISAIAH SULLIVAN (NPI# 1184151730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184151730 |
| Entity Type | Individual |
| Full Name | MR. JEREMY ISAIAH SULLIVAN |
| Credential | MD |
| Practice Address |
150 55th St Brooklyn NY 11220-2508 |
| Practice Telephone | 7186307000 |
| Practice Fax Number | 7186308515 |
| Mailing Telephone | 7186307000 |
| Mailing Fax Number | 7186308515 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 301449 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 101167019 | SC | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, New York, NY 100166402 | 2122635506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379644 | Jeremy Tyson Sullivan | Specialist | 10601 Winterwood, Carmel, IN 46032-8258 | 2006-05-03 |
| 1043441306 | Jeremy Ray Sullivan | Psychologist | 655 Main St, Bennington, VT 05201-2870 | 2009-08-05 |
| 1528197985 | Jeremy James Sullivan | Physical Therapist | 801 Kings Hwy N, Fox Rehabilitation Services, Cherry Hill, NJ 08034-1513 | 2007-03-03 |
| Street Address |
150 55TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364281 | Leslie Brown-aptekar | Genetic Counselor, MS | 150 55th St, Ste 5-04, Brooklyn, NY 11220-2559 | 2005-05-27 |
| 1649870528 | Diana Yakubova | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-29 |
| 1376142455 | Sammie Liu | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-20 |
| 1083213458 | Megan Nevers | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-18 |
| 1265030365 | Esther Liliane Kassin | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-12 |
| 1124625272 | Sharon Berger | Obstetrics & Gynecology | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-01 |
| 1649884644 | Christina Mikhael | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-09-07 |
| 1285243378 | Safina Skaf | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-07-24 |
| 1184241853 | Cora-ann Oregan | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-29 |
| 1407471626 | Aaron Shea | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1194345306 | Laura Cafro | Nurse Practitioner | 150 55 Th St, Brooklyn, NY 11220 | 2020-04-17 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1548729775 | Ayah Rashwan | Student in an Organized Health Care Education/Training Program | Nyu Langone Health 150 55th St, Brooklyn, NY 11220 | 2019-03-18 |
| 1477012854 | Jeffrey A Dang | Physician Assistant | 5517 7th Ave. #1f, Brooklyn, NY 11220 | 2019-03-15 |
| Find all providers in zip 11220 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609287606 | Sameera Ishtiaq | Hospitalist | 585 Schenectady Ave # K4, Department of Medicine, Brooklyn, NY 11203-1851 | 2014-05-13 |
| 1649681776 | Kyin Hlaing | Hospitalist | 1774 W 12th St # 2re, Brooklyn, NY 11223-1137 | 2014-05-12 |
| 1356775753 | Arundhati Das | Hospitalist | 150 55th St, 3rd Floor, Nyu Lutheran, Brooklyn, NY 11220 | 2013-08-21 |
| 1528407632 | Douglas Jeffrey Sata | Hospitalist | 117 74th Street, First Floor, Brooklyn, NY 11209 | 2013-06-21 |
| 1518301449 | Sridhar Kundula | Hospitalist | 180 19th St, Unit 4, Brooklyn, NY 11232-1027 | 2013-04-22 |
| 1144566712 | Mukesh Kumar | Hospitalist | 539 85th St Apt 2c, Brooklyn, NY 11209-4829 | 2012-12-29 |
| 1538466412 | Saira Hussain | Hospitalist | 10 Ocean Pkwy Apt B4, Brooklyn, NY 11218-1518 | 2011-02-11 |
| 1821329277 | Svetlana Volovich | Hospitalist | 2225 Benson Ave, Brooklyn, NY 11214-5245 | 2010-01-25 |
| 1801050679 | Shahid Mushtaq Khan | Hospitalist | 348 Marshall Dr S Apt 1b, Brooklyn New York, Brooklyn, NY 11209-8534 | 2008-07-11 |
| 1063673911 | Fatima Malik | Hospitalist | 825 New York Ave Apt 906, Brooklyn, NY 11203-2720 | 2008-06-23 |
| Find all providers in BROOKLYN | ||||
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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.