Active NPIIndividual provider

Kelly Sullivan

Occupational Therapist, Pediatrics in Rockaway, New Jersey

NPI Number1477010528
Practice location
21 Pine St, Rockaway, NJ 07866-3130
Fax
—
Last updated
February 25, 2019

Kelly Sullivan is an Occupational Therapist, Pediatrics based in Rockaway, NJ. Kelly Sullivan practices in Rockaway, NJ. The NPI Number for Kelly Sullivan is 1477010528. The current practice location address for Kelly Sullivan is 21 Pine St, Rockaway, NJ 07866-3130 and can be reached out via phone at 973-626-2234.

Provider Profile Details

NPI Number
1477010528
Provider Name
Kelly Sullivan
Provider Entity Type
Individual
Gender
Female
Address
21 Pine St, Rockaway, NJ 07866-3130
Phone Number
973-626-2234
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
February 25, 2019
Last Update Date
February 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Pine St
Rockaway, NJ 07866-3130
Zip
07866-3130
Phone Number
973-626-2234
Rockaway, NJ 07866Get directions →

Provider Business Mailing Address Details

Address
555 E Maple Ave
Woodbridge, NJ 07095-3039
City
Woodbridge
State
NJ
Zip
07095-3039

License Information

Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · 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 Kelly Sullivan?

The NPI number of Kelly Sullivan is 1477010528. It was assigned on February 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly Sullivan?

Kelly Sullivan is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X).

Where does Kelly Sullivan practice?

The practice location is 21 Pine St, Rockaway, NJ 07866-3130. The office can be reached at 973-626-2234 (phone).

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 1477010528 directly on the NPPES registry website.

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