MRS. ALISON M SULLIVAN (NPI# 1043536048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043536048 |
| Entity Type | Individual |
| Full Name | MRS. ALISON M SULLIVAN |
| Other Name | MISS ALISON M MARICONDA |
| Credential | RD |
| Practice Address |
255 Lafayette Ave Nutrition Services Suffern NY 10901-4812 |
| Mailing Address |
116 Washington Ave Suffern NY 10901-6247 |
| Practice Telephone | 8453685016 |
| Practice Fax Number | 8453685337 |
| Mailing Telephone | 8453572930 |
| Mailing Fax Number | 8453572930 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMISSION ON DIETETIC REGISTRATION | 721063 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154611333 | Alison Anne Sullivan | Social Worker | 1011 Princess Anne St, Suite B, Fredericksburg, VA 22401-3835 | 2011-04-08 |
| 1326370974 | Alison Patricia Sullivan | Chiropractor | 290 Center Road, West Seneca, NY 14224 | 2010-02-08 |
| 1437255015 | Alison Sullivan | Social Worker | 33 Atkins Rd, East Sandwich, MA 02537-1474 | 2006-09-15 |
| 1467711671 | Alison M Sullivan | Obstetrics & Gynecology | 301 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2641 | 2012-05-08 |
| 1871898734 | Alison Beth Sullivan | Speech-Language Pathologist | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-01-24 |
| 1881894558 | Alison Sullivan | Emergency Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2007-07-20 |
| 1386852341 | Alison Elizabeth Sullivan | Pediatrics | 75 Crystal Run Rd Ste 135, Middletown, NY 10941-7009 | 2007-05-21 |
| 1750402822 | Alison L Sullivan | Social Worker | 707 N Broadway, Baltimore, MD 21205-1832 | 2007-04-03 |
| Street Address |
255 LAFAYETTE AVE NUTRITION SERVICES |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616963 | Martin S Katzenstein | Pediatrics | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2005-08-18 |
| 1184232894 | Jennifer Peterson | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-07-20 |
| 1396360186 | Tina George | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-06-08 |
| 1053943902 | Michelle Lindsay Mathew | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-02-09 |
| 1174155162 | Rockland Physician Medicine Services, P.C. | Physician Assistant | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2020-02-07 |
| 1659847416 | Teresa Ann Sullivan | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2018-10-19 |
| 1134694334 | Damar Titsy-ann Mcintyre | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2018-10-04 |
| 1962988543 | Rena Marie Riccardi | Nutritionist | 255 Lafayette Ave, Suffern, NY 10901-4869 | 2018-07-17 |
| 1730638453 | Patricia Margaret Kivlehan | Nurse Practitioner | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2016-09-22 |
| 1609251370 | Melissa Theodore | Physical Therapist | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2015-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| Find all providers in zip 10901 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212856 | Marian Katz Holdridge | Dietitian, Registered | 2 Executive Blvd Ste 203, Suffern, NY 10901-8218 | 2019-02-21 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1831175728 | Anna Maria Slicker | Dietitian, Registered | 2 Executive Blvd, Ste 203, Suffern, NY 10901-4164 | 2005-12-21 |
| 1992221873 | Emilie Mc Ilroy | Dietitian, Registered | 156 Route 59, Suffern, NY 10901-5005 | 2017-08-22 |
| 1477853711 | Maria Scaffidi | Dietitian, Registered | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2010-11-02 |
| 1053638718 | Frances Doellinger | Dietitian, Registered | 255 Lafayette Ave, Nutrition Services, Suffern, NY 10901-4812 | 2010-04-21 |
| 1841517513 | Jocelyn Goldstein | Dietitian, Registered | 255 Lafayette Ave, Suffern, NY 10901-4812 | 2010-04-21 |
| 1790001733 | Annette Dagostino Walker | Dietitian, Registered | 255 Lafayette Ave, Nutrition Services, Suffern, NY 10901-4812 | 2010-04-15 |
| 1750368460 | Sharon Saka | Dietitian, Registered | 2 Executive Blvd, Ste 203, Suffern, NY 10901-4164 | 2005-12-23 |
| 1386621993 | Denise Serrano | Dietitian, Registered | 2 Executive Blvd, Ste 203, Suffern, NY 10901-4164 | 2005-12-23 |
| Find all providers in SUFFERN | ||||
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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.