DR. CHARLES D SULLIVAN


Address: 265 Route 46 West, Suite 202, Totowa, NJ 07512
Phone: 9732562818

DR. CHARLES D SULLIVAN (NPI# 1144433863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144433863
Entity Type Individual
Full Name DR. CHARLES D SULLIVAN
Credential PHD
Practice Address 265 Route 46 West
Suite 202
Totowa
NJ 07512
Practice Telephone 9732562818
Practice Fax Number 9732562818
Mailing Telephone 9732562818
Mailing Fax Number 9732562818
Enumeration Date 2007-05-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
355100121900 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 1282905 05

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Office Location

Street Address 265 ROUTE 46 WEST
SUITE 202
City TOTOWA
State NJ
Zip Code 07512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356544894 David W Hubschmitt Psychologist 265 Route 46 West, Totowa, NJ 07512-1820 2007-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396265682 Joseph Choi Student in an Organized Health Care Education/Training Program 136 Independence Trail, Totowa, NJ 07512 2017-06-27
1508228537 Psycho-educational Associates Community/Behavioral Health 999 Riverview Dr., Suite 201, Totowa, NJ 07512 2016-03-29
1013381086 De La Torre Chiropractic Center, LLC Chiropractor 159 Union Blvd, Unit B, Totowa, NJ 07512 2015-11-13
1396123527 Pratiksha Pandit Chesney Physical Therapist 10 Crews St., Totowa, NJ 07512 2015-05-07
1356735666 Ne Health Management LLC Clinic/Center 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 2015-03-25
1477989218 Medical Nutrition of Nj, LLC Nutritionist 137 Union Blvd, Totowa, NJ 07512 2013-09-25
1245503648 Biologictx LLC Pharmacy 40d Commerce Way, Totowa, NJ 07512 2012-02-15
1982987293 Jorge De La Torre Jr. Chiropractor 442 Union Blvd, Store Front, Totowa, NJ 07512 2011-09-22
1851699540 Leilani Irisari Toomey Physical Therapist 140 Sheperds Ln#1, Totowa, NJ 07512 2011-03-04
1972803526 Maria E Tapia Social Worker 555 Preakness Ave., Totowa, NJ 07512 2010-10-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528352929 Ryan Charles Sullivan Psychologist 265 Us Highway 46, Suite 202, Totowa, NJ 07512-1820 2011-06-02

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Competitor

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City TOTOWA
Zip Code 07512

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Dataset Information

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.

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