JARED M. SULLIVAN (NPI# 1225128952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225128952 |
| Entity Type | Individual |
| Full Name | JARED M. SULLIVAN |
| Credential | M.D. |
| Practice Address |
1117 Us Highway 46 Ste 202 Clifton NJ 07013-2450 |
| Mailing Address |
10 Pihlman Pl Chatham NJ 07928-2707 |
| Practice Telephone | 9737791221 |
| Practice Fax Number | 9737786014 |
| Mailing Telephone | 9737687967 |
| Mailing Fax Number | 9737786014 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25MA076546 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0079553 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933968 | Jared John Sullivan | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-21 |
| 1710309208 | Jared Daniel Sullivan | Registered Nurse | 1400 Locust St, Pittsburgh, PA 15219-5114 | 2014-01-17 |
| Street Address |
1117 US HIGHWAY 46 STE 202 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679038962 | Nj Premier Women Health LLC | Obstetrics & Gynecology | 1300 Main Ave Ste 3c, Clifton, NJ 07011-2266 | 2019-01-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1700333655 | Jsmith Md PC | Obstetrics & Gynecology | 1033 Route 46 Ste 102, Clifton, NJ 07013-2448 | 2016-09-08 |
| 1356358709 | Vinay R Shah | Obstetrics & Gynecology | 985 Paulison Ave, Clifton, NJ 07011-3629 | 2006-08-01 |
| 1750329538 | Charles George Haddad | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2006-06-03 |
| 1295772168 | Henry H Balzani | Obstetrics & Gynecology | 1117 Route 46 East Clifton, Suite 204, Clifton, NJ 07013-2449 | 2006-06-01 |
| 1326093204 | Edward F Kugler | Obstetrics & Gynecology | 716 Broad St, Clifton, NJ 07013-1645 | 2006-05-22 |
| 1548254428 | Peter A Tah | Obstetrics & Gynecology | 930 Clifton Ave, Clifton, NJ 07013-2723 | 2005-09-07 |
| 1730609066 | Edward Kugler Md LLC | Obstetrics & Gynecology | 1135 Broad Street, #205, Clifton, NJ 07013 | 2017-06-27 |
| 1649711433 | Jodi Louisa Hadeed | Obstetrics & Gynecology | 743 Passaic Ave, Apt 128, Clifton, NJ 07012-1826 | 2017-03-14 |
| Find all providers in CLIFTON | ||||
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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.