Active NPIIndividual provider

Maureen Sullivan, PA-C

Physician Assistant in Woodbury, New Jersey

NPI Number1033144019
Practice location
17 W Red Bank Ave, Suite 207, Woodbury, NJ 08096-1630
Fax
856-845-7602
Last updated
November 20, 2014

Maureen Sullivan is a Physician Assistant based in Woodbury, NJ. Maureen Sullivan practices in Woodbury, NJ and has the professional credentials of PA-C. The NPI Number for Maureen Sullivan is 1033144019 and holds a License No. 25MP000245 (NJ). The current practice location address for Maureen Sullivan is 17 W Red Bank Ave, Suite 207, Woodbury, NJ 08096-1630 and can be reached out via phone at 856-845-0664 and via fax at 856-845-7602.

Provider Profile Details

NPI Number
1033144019
Provider Name
Maureen Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
17 W Red Bank Ave, Suite 207, Woodbury, NJ 08096-1630
Phone Number
856-845-0664
Fax Number
856-845-7602
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2006
Last Update Date
November 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 W Red Bank Ave
Suite 207
Woodbury, NJ 08096-1630
Zip
08096-1630
Phone Number
856-845-0664
Fax Number
856-845-7602
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
15 Chatham Dr
Voorhees, NJ 08043-2953
City
Voorhees
State
NJ
Zip
08043-2953

License Information

License Number
25MP000245
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maureen Sullivan, PA-C?

The NPI number of Maureen Sullivan, PA-C is 1033144019. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Maureen Sullivan, PA-C?

Maureen Sullivan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP000245.

Where does Maureen Sullivan, PA-C practice?

The practice location is 17 W Red Bank Ave, Suite 207, Woodbury, NJ 08096-1630. The office can be reached at 856-845-0664 (phone) or 856-845-7602 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033144019 directly on the NPPES registry website.

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