SARA SULLIVAN (NPI# 1841676855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841676855 |
| Entity Type | Individual |
| Full Name | SARA SULLIVAN |
| Credential | DDS |
| Practice Address |
3097 Steinway St 2nd Floor Astoria NY 11103-3440 |
| Mailing Address |
15 Engle St Suite 303 Englewood NJ 07631-2936 |
| Practice Telephone | 7185455100 |
| Practice Fax Number | 8882927017 |
| Mailing Telephone | 2013088181 |
| Mailing Fax Number | 2018755588 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11391 | CT | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
02602900 | NJ | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
057913 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092837 | Sara Sullivan | Technician | 1581 Clark Rd, Charleston, WV 25314-2336 | 2020-08-04 |
| 1669791158 | Sara Lauren Kiehn Sullivan | Nurse Practitioner | 2927 Carlson Blvd, El Cerrito, CA 94530-3511 | 2010-05-23 |
| 1023275849 | Sara Ann Sullivan | Physical Therapist | 631 Clymer Sherman Rd, Clymer, NY 14724-9758 | 2008-05-20 |
| 1740326792 | Sara Mcgowan Sullivan | Counselor | 10701 Corporate Drive, Suite # 220, Stafford, TX 77477 | 2007-01-29 |
| 1114931706 | Sara Nivens Sullivan | Social Worker | 7629 Velvet Mist St., Las Vegas, NV 89131-3651 | 2006-07-28 |
| 1902404023 | Sara Lynn Sullivan | Speech-Language Pathologist | 3320 N Clinton St, Fort Wayne, IN 46805-1918 | 2020-10-12 |
| 1265913503 | Sara Sullivan | Clinical Neuropsychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2018-08-24 |
| 1942690706 | Sara Bea Sullivan | Counselor | 913 S College Rd, Suite 201, Lafayette, LA 70503-3060 | 2015-02-02 |
| 1225451347 | Sara Sullivan | Specialist/Technologist | 800 Phillies Dr, Clearwater, FL 33755-4337 | 2014-01-24 |
| 1821396466 | Sara Margaret Sullivan | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2011-03-07 |
| Street Address |
3097 STEINWAY ST 2ND FLOOR |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043565575 | Queens Orthodontics | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2012-07-20 |
| 1871136242 | Kyung Jin Lee | Dentist | 3097 Steinway St, Astoria, NY 11103-3440 | 2019-10-17 |
| 1093226979 | Jamie Huang | Pharmacist | 3097 Steinway St, Astoria, NY 11103-3440 | 2017-10-18 |
| 1396091781 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3097 Steinway St, Astoria, NY 11103-3440 | 2012-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356621 | Patricia Ortiz Diaz | Dentist | 3119 Newtown Ave Ste 200, Astoria, NY 11102-1392 | 2014-04-14 |
| 1043565575 | Queens Orthodontics | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2012-07-20 |
| 1891099081 | Robert J. Lopatkin Dds PC | Dentist | 2312 31st St, Astoria, NY 11105-2842 | 2011-01-02 |
| 1962678763 | Trevor Robert Gottfried | Dentist | 2615 23rd Ave, Astoria, NY 11105-3124 | 2008-05-01 |
| 1790970374 | Efstathios Giannoutsos | Dentist | 2161 46th St, Astoria, NY 11105-1333 | 2007-09-07 |
| 1093905788 | Patrick Ray Harrison | Dentist | 762 Niagara Ave, Astoria, OR 97103-5119 | 2007-07-28 |
| 1740336775 | Joseph Anthony Salierno | Dentist | 3045 35th St, Astoria, NY 11103-4701 | 2007-01-25 |
| 1225124282 | Tamar Bryk | Dentist | 3122 Steinway St, Astoria, NY 11103-3909 | 2006-10-05 |
| 1316544943 | All Smiles Orthodontics, Pllc | Dentist | 2312 31st St, Astoria, NY 11105-2768 | 2020-10-06 |
| 1871136242 | Kyung Jin Lee | Dentist | 3097 Steinway St, Astoria, NY 11103-3440 | 2019-10-17 |
| Find all providers in ASTORIA | ||||
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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.