RYAN JOHN SULLIVAN (NPI# 1366078495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366078495 |
| Entity Type | Individual |
| Full Name | RYAN JOHN SULLIVAN |
| Credential | DO |
| Practice Address |
300 Community Dr Manhasset NY 11030-3816 |
| Mailing Address |
910 Mitchel Field Way Garden City NY 11530-5066 |
| Practice Telephone | 5165620100 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871022418 | Ryan Daniel Sullivan | Counselor | 480 Vision Way, Bayfield, CO 81122 | 2017-06-07 |
| 1396149944 | Ryan Esley Sullivan | Mechanotherapist | 325 John Knox Rd Bldg T Ste 1, Tallahassee, FL 32303-4166 | 2014-10-10 |
| 1063701241 | Ryan Ridgway Sullivan | Orthopaedic Surgery | 120 Spalding Dr Ste 307, Naperville, IL 60540 | 2011-03-28 |
| 1174605653 | Ryan A Sullivan | Internal Medicine | 2198 Us Highway 31 S, Manistee, MI 49660-9618 | 2006-10-20 |
| 1104387869 | Ryan Michael Sullivan | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2019-03-26 |
| 1548738982 | Ryan Christopher Sullivan | Social Worker | 7309 Lazy Creek Dr, Austin, TX 78724-3211 | 2018-11-04 |
| 1447743232 | Ryan Sean Sullivan | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2018-06-07 |
| 1760972285 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 2018-05-10 |
| 1679099170 | Ryan Edward Sullivan | Social Worker | 285 Main Street, Cshhc-west Haven Health Center Counseling Services, West Haven, CT 06516-7307 | 2017-08-16 |
| 1124554571 | Ryan Sullivan | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-04 |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659777 | Rudy Neptune | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2005-06-15 |
| 1013518935 | Vikram Gajulapalli | Pharmacist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-11-06 |
| 1568062396 | Caroline Smolenski | Nurse Anesthetist, Certified Registered | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-30 |
| 1265031256 | James Jiwon Song | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-20 |
| 1437757739 | Andy Sunwoo Lim | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-09 |
| 1548867450 | Shiva Moshtagh | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-04 |
| 1457968943 | Bryanna Colleen Kelly | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-28 |
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1548875644 | Julius E Wilson Jr. | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 1114532215 | Sarah Iqbal | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868567 | Dongling Wu | Student in an Organized Health Care Education/Training Program | 306 Community Dr Apt 2a, Manhasset, NY 11030-3842 | 2019-05-29 |
| 1770089799 | Koichiro Shinozaki | Student in an Organized Health Care Education/Training Program | 306 Community Dr Apt 6e, Manhasset, NY 11030-3851 | 2018-03-30 |
| 1114371705 | Priyanka L Singh | Student in an Organized Health Care Education/Training Program | 300 Manhasset Ave, Manhasset, NY 11030-2259 | 2016-04-20 |
| 1780061788 | Asad Baig | Student in an Organized Health Care Education/Training Program | 300 Community Dr # Surgery, Manhasset, NY 11030-3816 | 2015-04-29 |
| 1013303288 | Fahim Hashmi | Student in an Organized Health Care Education/Training Program | 300 Community Dr Fl 1, North Shore University Hospital, Dept. of Radiology, Manhasset, NY 11030-3816 | 2015-04-14 |
| 1801282736 | Brian Anthony Donatelli | Student in an Organized Health Care Education/Training Program | 5 Foxcroft Rd, Manhasset, NY 11030-3720 | 2015-04-07 |
| 1740542612 | Irmina Sultana Haq | Student in an Organized Health Care Education/Training Program | 306 Community Dr Apt 1l, Manhasset, NY 11030-3840 | 2012-06-15 |
| 1427348358 | Arvind Rishi | Student in an Organized Health Care Education/Training Program | 302 Community Dr, 1c, Manhasset, NY 11030-3804 | 2011-04-12 |
| 1740589548 | Mary E Cheatham | Student in an Organized Health Care Education/Training Program | 400 Cmmunity Drive, Dental Center, Manhasset, NY 11030 | 2011-03-18 |
| 1689297780 | Sophia Tang | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-05-22 |
| Find all providers in MANHASSET | ||||
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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.