MS. ANN MARIE SULLIVAN (NPI# 1679018709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679018709 |
| Entity Type | Individual |
| Full Name | MS. ANN MARIE SULLIVAN |
| Credential | RN, APN |
| Practice Address |
530 Green St Iselin NJ 08830-2654 |
| Practice Telephone | 7323714400 |
| Mailing Telephone | 7323714400 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NJ00455100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578685335 | Ann Marie Theresa Sullivan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-04 |
| Street Address |
530 GREEN ST |
| City | ISELIN |
| State | NJ |
| Zip Code | 08830-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932267242 | Augustus Mosca | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2638 | 2006-12-05 |
| 1679812630 | Kpuc, LLC | Pediatrics | 530 Green St, Suite 100, Iselin, NJ 08830-2654 | 2013-02-11 |
| 1033420435 | Tanya Beckman | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-06-30 |
| 1164741252 | Rachael Sokolic | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-05-28 |
| 1760714000 | Jaclyn Prusakowski | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2010-02-11 |
| 1538497516 | Kingley Health Services Nj LLC | Psychologist | 530 Green St, Iselin, NJ 08830-2654 | 2009-12-02 |
| 1770818221 | Erin Headley | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2009-10-15 |
| 1205075140 | Devon Golem | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2009-02-17 |
| 1962653204 | Jodi Fitterman | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-10-06 |
| 1700037033 | Alison Brown | Dietitian, Registered | 530 Green St, Iselin, NJ 08830-2654 | 2008-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492271 | Anum Hassan | Audiologist | Woodbridge Corporate Plaza, 485 Route 1 South, Building B, Suite 350, Iselin, NJ 08830 | 2018-10-03 |
| 1437635117 | Ryan L Maurer | Optometrist | 485 Rt 1s, Building, Iselin, NJ 08830 | 2018-07-16 |
| 1003334673 | Rachel Nyaanga | Counselor | 203 Rivington St, Iselin, NJ 08830 | 2017-09-05 |
| 1427570464 | Eric Robert Devore | Optometrist | 485 Route 1 South Building A, Omni Eye Serevices, Iselin, NJ 08830 | 2017-07-12 |
| 1720500762 | Natalie Nguyen | Optometrist | 485 Route 1 South, Building A, Omni Eye Services, Iselin, NJ 08830 | 2017-07-12 |
| 1548617905 | Healthy Body Healthy Mind LLC | Community/Behavioral Health | 97 Grand Avenue, Iselin, NJ 08830 | 2016-05-16 |
| 1710344023 | Pallavi Baskaralingam | Nurse Practitioner | 38 West George Place, Iselin, NJ 08830 | 2016-01-19 |
| 1851722565 | Kelly Di Fabio | Dietitian, Registered | 485c Us Highway 1 South, Suite 350, Room 104, Iselin, NJ 08830 | 2013-12-05 |
| 1609212570 | Kenneth Bruce Harpster | Specialist/Technologist | 200 Middlesex - Essex Turnpike, Suite 306n, Iselin, NJ 08830 | 2013-05-17 |
| 1548565138 | Nancy Vasco | Physical Therapy Assistant | 30 Trento St, Iselin, NJ 08830 | 2011-01-13 |
| Find all providers in zip 08830 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
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|---|---|---|---|---|
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| 1558985812 | Kristine Esguerra | Nurse Practitioner | 853 Sheridan St, Union, NJ 07083-6564 | 2020-06-02 |
| 1699398495 | Shannon Gorman | Nurse Practitioner | 856 S White Horse Pike Unit 2, Hammonton, NJ 08037-2032 | 2020-05-27 |
| 1730738550 | Sarah Williston | Nurse Practitioner | 254b Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 | 2019-09-04 |
| 1194285346 | Sameh S Georgy | Nurse Practitioner | 17 Columbia Dr, Marlton, NJ 08053-3521 | 2019-03-22 |
| 1497211064 | Dana Paglia | Nurse Practitioner | 1230 Parkway Ave Ste 303, Ewing, NJ 08628-3018 | 2019-02-19 |
| 1407311830 | Kristi L Mulvey | Nurse Practitioner | 300 2nd Ave Ste Sh013, Long Branch, NJ 07740-6303 | 2019-02-11 |
| 1366916835 | Chelsea Laufer | Nurse Practitioner | 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080-9344 | 2019-01-17 |
| 1659860757 | Daniela A Moscarella | Nurse Practitioner | 300 Candlewood Cmns, Howell, NJ 07731-2170 | 2018-05-03 |
| 1265949655 | Teresa Marie Mahoney | Nurse Practitioner | 575 Route 28 Bldg B, Raritan, NJ 08869-1354 | 2018-01-07 |
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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.