BRIAN SCOTT SULLIVAN (NPI# 1265469209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265469209 |
| Entity Type | Individual |
| Full Name | BRIAN SCOTT SULLIVAN |
| Credential | DPM |
| Practice Address |
100 Morris Ave Ste 304 Springfield NJ 07081-1427 |
| Practice Telephone | 9732580111 |
| Practice Fax Number | 9732580123 |
| Mailing Telephone | 9732580111 |
| Mailing Fax Number | 9732580122 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00275100 | NJ | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761252 | Brian Michael Sullivan | Family Medicine | 514 Americas Way, Apt 6347, Box Elder, SD 57719-7600 | 2008-05-23 |
| 1336282961 | Brian C Sullivan | Chiropractor | 142 Rantoul St, Beverly, MA 01915-4241 | 2007-02-14 |
| 1306947338 | Brian A Sullivan | Chiropractor | 101 Blossom Dr, Winchester, VA 22602-6100 | 2006-09-25 |
| 1174537120 | Brian Patrick Sullivan | Psychologist | 5170 Hwy 105 S, Suite 1, Banner Elk, NC 28604 | 2006-07-27 |
| 1770145401 | Brian Patrick Sullivan | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-02 |
| 1659869550 | Brian Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 601 N Caroline St # 5165, Baltimore, MD 21287-0006 | 2018-04-25 |
| 1316466956 | Brian H Sullivan | Community Health Worker | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-14 |
| 1699290106 | Brian Sullivan | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-08-04 |
| 1831551654 | Brian Sullivan | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2016-03-22 |
| 1639558893 | Brian Sullivan | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2015-05-21 |
| Street Address |
100 MORRIS AVE STE 304 |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470601 | Frank R Bucciero | Optometrist | 100 Morris Ave, Springfield, NJ 07081 | 2006-01-03 |
| 1093958407 | Altima Eye Associates | Ophthalmology | 100 Morris Ave, Springfield, NJ 07081-1427 | 2009-04-15 |
| 1467649475 | Frank Bucciero Od | Optometrist | 100 Morris Ave, Springfield, NJ 07081-1427 | 2007-10-03 |
| 1508928839 | John Joseph Florio | Optometrist | 100 Morris Ave, Ste 104, Springfield, NJ 07081-1423 | 2006-12-14 |
| 1073540001 | Joel Mark Lerner | Podiatrist | 100 Morris Ave, Ste 304, Springfield, NJ 07081-1427 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
| 1194091629 | Foot & Ankle Associates of Central Il LLC | Podiatrist | 1603 West Washington, Springfield, IL 62702-4794 | 2012-03-29 |
| 1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
| 1760697213 | Jason Perry Galante | Podiatrist | 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 | 2007-05-10 |
| 1174672869 | Peter Crickellas | Podiatrist | 24 Lyons Pl, Springfield, NJ 07081-1604 | 2007-01-10 |
| 1992872998 | Essex Union Podiatry LLP | Podiatrist | 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 | 2006-11-29 |
| 1053491837 | David E Samuel | Podiatrist | 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 | 2006-10-16 |
| 1285661249 | Stephen J Longobardi | Podiatrist | 100 Morris Ave Ste 304, Springfield, NJ 07081-1423 | 2006-06-27 |
| 1487691747 | Donald Pierre Lemelle | Podiatrist | 415 W Harding Rd, Springfield, OH 45504-1706 | 2006-06-02 |
| 1255306676 | David Plotkin | Podiatrist | 619 Morris Ave, Springfield, NJ 07081-1511 | 2006-02-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 07081 |
Please comment or provide details below to improve the information on BRIAN SCOTT SULLIVAN.
| 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.