TIMOTHY O'SULLIVAN (NPI# 1912430687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912430687 |
| Entity Type | Individual |
| Full Name | TIMOTHY O'SULLIVAN |
| Practice Address |
150 Bergen St Uh-i248, Internal Medicine Residency Program Newark NJ 07103-2496 |
| Mailing Address |
4 Barton Ct East Brunswick NJ 08816-4633 |
| Practice Telephone | 9739726056 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |
| 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 |
|---|---|---|---|---|
| 1871986026 | Timothy O'sullivan | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2015-03-12 |
| Street Address |
150 BERGEN ST UH-I248, INTERNAL MEDICINE RESIDENCY PROGRAM |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052232 | Cherie Anne Burke | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2005-06-09 |
| 1235739269 | Rebecca Kim | Pharmacist | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-28 |
| 1033719513 | Suilon Ng | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-26 |
| 1801494539 | Brenda Borba | Dietitian, Registered | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-14 |
| 1881207454 | Eloy Francisco Ruiz Mendoza | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-08-24 |
| 1396368437 | Jacqueline E. Baron | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-23 |
| 1235751512 | Jacklyn A Johnson | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-10 |
| 1427679299 | Krishna Gandhi | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-02 |
| 1689294399 | Danielle Marie Lion | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-22 |
| 1902426893 | Saahil A Jumkhawala | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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| 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 |
|---|---|---|---|---|
| 1477165959 | Nikolina Markovic | Student in an Organized Health Care Education/Training Program | 140 Bergen St # I121, Newark, NJ 07103-2425 | 2020-08-17 |
| 1770191413 | Matthias Dunse | Student in an Organized Health Care Education/Training Program | 90 Bergen St # 5200, Newark, NJ 07103-2425 | 2020-07-20 |
| 1659998805 | Alejandra Lazaro | Student in an Organized Health Care Education/Training Program | 35982 Burning Tree Dr, Newark, CA 94560-1530 | 2020-07-02 |
| 1912524968 | Tyson Mellish Anthony | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 | 2020-06-25 |
| 1891319646 | Mary Thi Tran | Student in an Organized Health Care Education/Training Program | 6230 Smith Ave, Newark, CA 94560-4541 | 2020-06-07 |
| 1891319638 | Onoyom O Onyile | Student in an Organized Health Care Education/Training Program | 110 Bergen St Rm C-723, Newark, NJ 07103-2495 | 2020-06-07 |
| 1235750936 | Dave Arnanth Thiyagaram | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 | 2020-05-04 |
| 1619597093 | Naana Boachie | Student in an Organized Health Care Education/Training Program | 11 7th Ave Apt 5c, Newark, NJ 07104-3303 | 2020-04-25 |
| 1447870480 | Hadeel Samy Sadek | Student in an Organized Health Care Education/Training Program | 150 Bergen St # Uhi248, Newark, NJ 07103-2496 | 2020-04-20 |
| 1225657836 | Deneshia Mcintosh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 | 2020-04-14 |
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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.