Active NPIOrganization

Brendan P Sullivan MD Facc LLC

Internal Medicine, Cardiovascular Disease in Ridgewood, New Jersey

NPI Number1538316310
Practice location
265 Ackerman Ave, Suite 203, Ridgewood, NJ 07450-4200
Fax
201-445-8850
Last updated
August 22, 2008

Brendan P Sullivan MD Facc LLC is a healthcare organization based in Ridgewood, NJ. Brendan P Sullivan MD Facc LLC practices in Ridgewood, NJ. The NPI Number for Brendan P Sullivan MD Facc LLC is 1538316310 and holds a License No. MA072777 (NJ). The current practice location address for Brendan P Sullivan MD Facc LLC is 265 Ackerman Ave, Suite 203, Ridgewood, NJ 07450-4200 and can be reached out via phone at 201-445-8820 and via fax at 201-445-8850.

Provider Profile Details

NPI Number
1538316310
Provider Name
Brendan P Sullivan MD Facc LLC
Provider Entity Type
Organization
Address
265 Ackerman Ave, Suite 203, Ridgewood, NJ 07450-4200
Phone Number
201-445-8820
Fax Number
201-445-8850
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Organization Subpart
No
Authorized Official
Dr. Brendan P Sullivan, MD · Physician/Owner · 973-779-5151
Provider Enumeration Date
August 22, 2008
Last Update Date
August 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 Ackerman Ave
Suite 203
Ridgewood, NJ 07450-4200
Zip
07450-4200
Phone Number
201-445-8820
Fax Number
201-445-8850
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
183 Lincoln Ave
Ridgewood, NJ 07450-4105
City
Ridgewood
State
NJ
Zip
07450-4105
Phone Number
201-612-7893
Fax Number
201-857-8460

License Information

License Number
MA072777
License State
NJ
Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X · 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 Brendan P Sullivan MD Facc LLC?

The NPI number of Brendan P Sullivan MD Facc LLC is 1538316310. It was assigned on August 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Brendan P Sullivan MD Facc LLC?

Brendan P Sullivan MD Facc LLC is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number MA072777.

Where does Brendan P Sullivan MD Facc LLC practice?

The practice location is 265 Ackerman Ave, Suite 203, Ridgewood, NJ 07450-4200. The office can be reached at 201-445-8820 (phone) or 201-445-8850 (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 1538316310 directly on the NPPES registry website.

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