Michael Sullivan (NPI# 1588827174, PAC ID# 0244547289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1588827174 |
| PAC ID by PECOS | 0244547289 |
| Professional Enrollment ID | I20161019000086 |
| Full Name | Michael Sullivan |
| Organization Legal Name | MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC |
| Address |
1944 State Route 33 203 Neptune NJ 07753-4863 |
| Phone Number | 7327764770 |
| Gender | M |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0446272298 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310073 | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| 310039 | RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION |
| 310034 | RIVERVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1944 State Route 33 203, Neptune, NJ 07753-4863 | 7327764770 | MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC |
| Organization Legal Name | MERIDIAN MEDICAL GROUP FACULTY PRACTICE PC |
| Physicians | 118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tony Issac | Psychiatry | Meridian Medical Group Faculty Practice PC | 1945 Route 33, Neptune, NJ 07753-4859 |
| Nina Stella Jacobson | Obstetrics/gynecology | Meridian Medical Group Faculty Practice PC | 1944 State Route 33 101b, Neptune, NJ 07753-4863 |
| James R Bosscher | Gynecological Oncology | Meridian Medical Group Faculty Practice PC | 3520 State Route 33 A, Neptune, NJ 07753-3036 |
| Rosily Philip | Nurse Practitioner | Meridian Medical Group Faculty Practice PC | 19 Davis Ave-6th Fl Endo, Meridian Medical Group Faculty Care, Neptune, NJ 07753-4488 |
| Adam C Kaplan | Internal Medicine | Meridian Medical Group Faculty Practice PC | 2240 State Route 33 A-im, Neptune, NJ 07753-6104 |
| Ewaen O Okao | Psychiatry | Meridian Medical Group Faculty Practice PC | 661 Shrewsbury Ave, Shrewsbury, NJ 07702-4183 |
| Diane M. Marchesani | Infectious Disease | Meridian Medical Group Faculty Practice PC | 2240 State Route 33 A-id, Neptune, NJ 07753-6104 |
| Ronald Matteotti | General Surgery | Meridian Medical Group Faculty Practice PC | 1944 State Route 33 203, Neptune, NJ 07753-4863 |
| Maria E Martins | Obstetrics/gynecology | Meridian Medical Group Faculty Practice PC | 1944 State Route 33 204, Neptune, NJ 07753-4863 |
| Loretta M Ninivaggi | Nurse Practitioner | Meridian Medical Group Faculty Practice PC | 2240 State Route 33 B-endo, Neptune, NJ 07753-6104 |
| Street Address |
1944 STATE ROUTE 33 203 |
| City | NEPTUNE |
| State | NJ |
| Zip | 07753-4863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Matteotti | General Surgery | Meridian Medical Group Faculty Practice PC | 1944 State Route 33 203, Neptune, NJ 07753-4863 |
| Danielle E. Lann | Endocrinology | Meridian Medical Group Faculty Practice PC | 1944 State Route 33 203, Neptune, NJ 07753-4863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney G Dougherty | Psychologist, Clinical | Comprehensive Psychology System PC | 2100 Route 33, Neptune City, NJ 07753 |
| Diane M. Deitz | Nurse Practitioner | Hmh Hospitals Corporation | 1945 Rt, Suite 33, Neptune, NJ 07753 |
| Sarah J Spader | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Sandeep J Amin | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Anita Lucille Keelan | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Caitlin Mary Mcguire | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Namita J Gupta | Pathology | Atlantic Coast Urology,pa | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753 |
| Matthew S Tobin | Urology | Atlantic Coast Urology,pa | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753 |
| Abimbola B Pratt | General Surgery | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Allison M Whitecavage | Physician Assistant | Meridian Trauma Associates, P.C. | 1945 Route 33, Neptune, NJ 07753 |
| Find all physicians in zip 07753 | |||
| City | NEPTUNE |
| Zip Code | 07753 |
| Specialty | GENERAL SURGERY |
| City + Specialty | NEPTUNE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.