Active NPIIndividual providerSole proprietor

Jared M Sullivan, MD

Obstetrics & Gynecology in Clifton, New Jersey

NPI Number1225128952
Practice location
1117 US Highway 46 Ste 202, Clifton, NJ 07013-2450
Fax
973-778-6014
Last updated
July 8, 2007

Jared M. Sullivan is an Obstetrics & Gynecology based in Clifton, NJ. Jared M. Sullivan practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Jared M. Sullivan is 1225128952 and holds a License No. 25MA076546 (NJ). The current practice location address for Jared M. Sullivan is 1117 US Highway 46 Ste 202, Clifton, NJ 07013-2450 and can be reached out via phone at 973-779-1221 and via fax at 973-778-6014.

Provider Profile Details

NPI Number
1225128952
Provider Name
Jared M. Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1117 US Highway 46 Ste 202, Clifton, NJ 07013-2450
Phone Number
973-779-1221
Fax Number
973-778-6014
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1117 US Highway 46 Ste 202
Clifton, NJ 07013-2450
Zip
07013-2450
Phone Number
973-779-1221
Fax Number
973-778-6014
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
10 Pihlman Pl
Chatham, NJ 07928-2707
City
Chatham
State
NJ
Zip
07928-2707
Phone Number
973-768-7967
Fax Number
973-778-6014

License Information

License Number
25MA076546
License State
NJ
Taxonomy
Obstetrics & Gynecology · 207V00000X · 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 Jared M Sullivan, MD?

The NPI number of Jared M Sullivan, MD is 1225128952. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Jared M Sullivan, MD?

Jared M Sullivan, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number 25MA076546.

Where does Jared M Sullivan, MD practice?

The practice location is 1117 US Highway 46 Ste 202, Clifton, NJ 07013-2450. The office can be reached at 973-779-1221 (phone) or 973-778-6014 (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 1225128952 directly on the NPPES registry website.

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