DR. JOSEPH C SULLIVAN III (NPI# 1578642138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578642138 |
Entity Type | Individual |
Full Name | DR. JOSEPH C SULLIVAN III |
Credential | DC |
Practice Address |
17 Leonard St Smithtown NY 11787-1015 |
Mailing Address |
175 Route 25a Ste 5 Setauket NY 11733-2947 |
Practice Telephone | 9176550316 |
Mailing Telephone | 6317025115 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2019-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | X011979 | NY | Chiropractic Providers |
N | 111N00000X | Chiropractor | 18970 | CA | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104107903 | Joseph Vincent Sullivan | Dentist | 9221 Sandifur Pkwy, Suite B, Pasco, WA 99301-9241 | 2011-09-07 |
1427296375 | Joseph M. Sullivan | Podiatrist | 2144 Capewood Dr, Huddleston, VA 24104-3430 | 2009-01-30 |
1063526325 | Joseph David Sullivan | Counselor | 1701 Centerview Dr Ste 102, Little Rock, AR 72211-4311 | 2006-08-17 |
1982691689 | Joseph Wynn Sullivan | Internal Medicine | 600 Zeagler Dr, Palatka, FL 32177-3811 | 2005-09-29 |
1518953710 | Joseph Brian Sullivan | Internal Medicine | 620 Washington St, Suite A, Franklin, MA 02038-3300 | 2005-09-22 |
1255326690 | Joseph B. Sullivan | Optometrist | 8118 E Douglas Ave, Suite 107, Wichita, KS 67206-2364 | 2005-09-13 |
1336682418 | Joseph Sullivan | Chiropractor | 10160 W 50th Ave, Ste 4, Wheat Ridge, CO 80033-2339 | 2016-11-22 |
1437497856 | Joseph Sullivan | Rehabilitation Counselor | 895 Roberta Ln, Suite 101, Sparks, NV 89431-6802 | 2013-01-18 |
1295022903 | Joseph Sullivan | Surgery | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2011-07-01 |
1881909836 | Joseph Andrew Sullivan | Case Manager/Care Coordinator | 1500 Ne Irving St, Portland, OR 97232-2243 | 2010-08-15 |
Street Address |
17 LEONARD ST |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-1015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
Find all providers in zip 11787 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336332063 | Raymond E. Bowles, Dc | Chiropractor | 165 Hauppauge Rd, Smithtown, NY 11787-4850 | 2007-08-27 |
1619062577 | Robert Stephen Wilder | Chiropractor | 329 East Jericho Turnpike, Smithtown, NY 11787 | 2006-10-04 |
1417052499 | Philip Albert Facquet IIi | Chiropractor | 35 Washington Blvd, Smithtown, NY 11787 | 2006-09-14 |
1912927047 | Benjamin Tannenbaum | Chiropractor | 496 Smithtown Byp Ste 200, Smithtown, NY 11787-5011 | 2006-07-20 |
1376562025 | David A Wallman | Chiropractor | 32 Lawrence Ave, Smithtown, NY 11787-3605 | 2006-07-19 |
1750311502 | John W. Lohr | Chiropractor | 359 Route 111, Smithtown, NY 11787-4739 | 2006-07-04 |
1467416446 | Richard Steven Block | Chiropractor | 301 Maple Ave, Smithtown, NY 11787-4900 | 2006-04-14 |
1346224755 | Desi M Menendez | Chiropractor | 20 Gilbert Ave, Suite 203, Smithtown, NY 11787-5326 | 2005-11-30 |
1881292092 | New Beginnings Chiropractic, PC | Chiropractor | 323 E Main St Ste 1, Smithtown, NY 11787-2822 | 2020-10-12 |
1780292433 | Benjamin Leo Gamache | Chiropractor | 301 Maple Ave, Smithtown, NY 11787-4900 | 2020-07-20 |
Find all providers in SMITHTOWN |
Please comment or provide details below to improve the information on DR. JOSEPH C SULLIVAN III.
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.