MRS. NICOLE SULLIVAN (NPI# 1649367061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649367061 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE SULLIVAN |
| Other Name | NICOLE ANCONA |
| Credential | P.A. |
| Practice Address |
699 92nd St Brooklyn NY 11228-3619 |
| Mailing Address |
158 W 27th St 11th Floor South New York NY 10001-6216 |
| Practice Telephone | 2125632497 |
| Practice Fax Number | 2125630605 |
| Mailing Telephone | 2125632497 |
| Mailing Fax Number | 2125630605 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009916 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819179 | Nicole Alyssa Sullivan | Speech-Language Pathologist | 146 Daffodil Ave, Franklin Square, NY 11010-3815 | 2015-08-27 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1154499036 | Nicole Elizabeth Sullivan | Chiropractor | 214 W John Fitch Ave, Bardstown, KY 40004-1115 | 2006-12-01 |
| 1750919122 | Nicole Sullivan | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 837, Little Rock, AR 72205-7101 | 2020-03-31 |
| 1538795794 | Nicole Anne Sullivan | Occupational Therapist | 7000 Great Meadow Rd, Dedham, MA 02026-4090 | 2020-03-19 |
| 1548819675 | Nicole Sullivan | Physician Assistant | 140 N Sherman Ct, Hazleton, PA 18201-5863 | 2019-09-11 |
| 1992366918 | Nicole Sullivan | Psychologist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2019-06-21 |
| 1306314927 | Nicole Ann Sullivan | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-11-13 |
| 1932625290 | Nicole Ashley Sullivan | Social Worker | 281 Phelps Ln, North Babylon, NY 11703-4005 | 2017-08-18 |
| 1437542404 | Nicole Sullivan | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-03-14 |
| Street Address |
699 92ND ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11228-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736361 | Nicholas Chiu | Anesthesiology | 699 92nd St, Victory Memorial Hospital, Brooklyn, NY 11228-3619 | 2005-08-10 |
| 1538392816 | Suny Downstate @bayridge | Emergency Medicine | 699 92nd St, Brooklyn, NY 11228-3619 | 2009-09-02 |
| 1417195967 | Christel Moran | Family Medicine | 699 92nd St, Brooklyn, NY 11228-3619 | 2009-01-21 |
| 1962664144 | Kayane Hanna-hindy | Internal Medicine | 699 92nd St, Brooklyn, NY 11228-3619 | 2008-06-27 |
| 1275705576 | Amy Rosenthal | Midwife | 699 92nd St, Brooklyn, NY 11228-3619 | 2008-03-26 |
| 1518141621 | Galina Khitro-katz | Physician Assistant | 699 92nd St, Brooklyn, NY 11228-3619 | 2007-12-26 |
| 1063627016 | Emilia N Terekhina | Pharmacist | 699 92nd St, Brooklyn, NY 11228-3619 | 2007-05-13 |
| 1245357078 | Anni T Thadavila | Registered Nurse | 699 92nd St, Brooklyn, NY 11228-3619 | 2007-03-25 |
| 1033251947 | J.y. Professional Radiology PC | Radiology | 699 92nd St, Brooklyn, NY 11228-3619 | 2007-02-14 |
| 1346329521 | Nirupa Harin | Radiology | 699 92nd St, Brooklyn, NY 11228-3619 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343356 | Jeannine M Tomaselli | Social Worker | Brooklyn Counseling Services, 7316 13th Ave 3rd Floor, Brooklyn, NY 11228 | 2019-08-28 |
| 1316446784 | Dyker Chemist | Pharmacy | 7313 13th Ave, Brooklyn, NY 11228 | 2018-02-12 |
| 1689190837 | Flor D Munoz | Developmental Therapist | 1533 73rd St, Apt 2f, Brooklyn, NY 11228 | 2017-08-19 |
| 1477076479 | Joseph Richard Podraza | Registered Nurse | 1225 69th Street, Brooklyn, NY 11228 | 2017-07-21 |
| 1609398262 | Kids Growth Corp | Early Intervention Provider Agency | 1555 77th Street, Brooklyn, NY 11228 | 2017-07-14 |
| 1962946087 | Amarildo Ziu | Pharmacist | 1532 86th Street, Brooklyn, NY 11228 | 2016-12-08 |
| 1285177030 | Francesca Pucci | Speech-Language Pathologist | 1247 71st St, Brooklyn, NY 11228 | 2016-11-28 |
| 1396104782 | Chris Molluso | Behavioral Analyst | 45 Bay 7th, Brooklyn, NY 11228 | 2016-02-15 |
| 1285003848 | Neighborhood Counseling Center | Community/Behavioral Health | 7706 13th Avenue, Brooklyn, NY 11228 | 2015-09-24 |
| 1780080051 | Allison Kaplon Speech and Language Therapy, P.C. | Clinic/Center | 1275 81st Street, Brooklyn, NY 11228 | 2014-11-13 |
| Find all providers in zip 11228 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| 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.