DR. MARY M O'SULLIVAN (NPI# 1962495788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962495788 |
| Entity Type | Individual |
| Full Name | DR. MARY M O'SULLIVAN |
| Credential | M.D. |
| Practice Address |
1090 Amsterdam Ave New York NY 10025-1737 |
| Mailing Address |
150 E 42nd St Fl 9 New York NY 10017-5699 |
| Practice Telephone | 2125238672 |
| Practice Fax Number | 2125317650 |
| Mailing Telephone | 6466058188 |
| Mailing Fax Number | 2125237410 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
146572 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00653732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389494 | Mary Katherine O'sullivan | Registered Nurse | 1035 116th Ave Ne, Bellevue, WA 98004-4604 | 2020-08-31 |
| 1710513197 | Mary O'sullivan | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-03-18 |
| 1881254985 | Mary O'sullivan | Nurse Practitioner | 45 Palmer St, Lowell, MA 01852-1834 | 2019-06-19 |
| 1063736718 | Mary Theresa O'sullivan | General Acute Care Hospital | 5000 S 5th Ave, Hines, IL 60141-3030 | 2010-03-24 |
| 1598915571 | Mary Elizabeth O'sullivan | Audiologist | 501 Se 172nd Ave, 230, Vancouver, WA 98684-9542 | 2008-09-25 |
| 1407028079 | Mary Elizabeth O'sullivan | Audiologist | 984 N Broadway, Suite400, Yonkers, NY 10701-1318 | 2008-03-24 |
| 1952469884 | Mary Ellen O'sullivan | Psychologist | 10 Adams St, Suite 2, North Chelmsford, MA 01863-1746 | 2006-12-04 |
| Street Address |
1090 AMSTERDAM AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427522 | Gary R Burke | Internal Medicine | 1090 Amsterdam Ave, Fl 4, New York, NY 10025-1737 | 2005-06-14 |
| 1407490071 | Monique Shenise Titley | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2019-11-06 |
| 1417428855 | Ewelina Wiecek | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2018-12-11 |
| 1912432964 | Jeletta Jose | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-04-27 |
| 1710419437 | Sabrina Ghim | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-31 |
| 1679005474 | Ziv Nir | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite F, 16th Floor, New York, NY 10025 | 2017-03-30 |
| 1538691860 | Vivian Chan | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-27 |
| 1336670892 | Annesly Gates | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suie 16a, New York, NY 10025-1737 | 2017-03-25 |
| 1023554318 | St.lukes Roosevelt Hospital Center Childrens Blended Case Managemen | Pediatrics | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-01-11 |
| 1841748456 | Marianna Cordovano | Physician Assistant | 1090 Amsterdam Ave, Suite 10a, New York, NY 10025-1737 | 2016-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
| 1083961544 | Marc Xavier Bowen, PC | Internal Medicine | 114 John St # 1017, New York, NY 10038-3304 | 2012-08-14 |
| 1154601854 | Trustees of Columbia University In The City of Ny Roger A Maxfield | Internal Medicine | 16 E 60th St Ste 320, New York, NY 10022-1002 | 2011-08-25 |
| 1831498625 | Michael Bender | Internal Medicine | 425 E 61st St Ste 402, New York, NY 10065-8722 | 2011-03-20 |
| 1144540964 | Heather Siedenburg | Internal Medicine | 1 St Avenue and E 16th Street, New York, NY 10003-1012 | 2010-06-03 |
| 1871724575 | David R Dantzker | Internal Medicine | 64 E 86th St, Apt 1c, New York, NY 10028-1016 | 2009-07-30 |
| 1134358609 | Alfredo Juan Astua | Internal Medicine | 1st & 16th St, New York, NY 10003-4642 | 2009-07-06 |
| 1902069297 | Claire L Keating | Internal Medicine | 622 W 168th St Ph 8-101, New York, NY 10032-3720 | 2008-07-07 |
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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.