Active NPIIndividual provider

Matthew R Sullivan, FNP-C

Nurse Practitioner, Family in Egg Harbor Township, New Jersey

NPI Number1538990015
Practice location
2500 English Creek Ave, Bldg 400, Fl 2, Egg Harbor Township, NJ 08234
Fax
609-677-7727
Last updated
November 12, 2024

Matthew Robert Sullivan is a Nurse Practitioner, Family based in Egg Harbor Township, NJ. Matthew Robert Sullivan practices in Egg Harbor Township, NJ and has the professional credentials of FNP-C. The NPI Number for Matthew Robert Sullivan is 1538990015 and holds a License No. 26NJ15109500 (NJ). The current practice location address for Matthew Robert Sullivan is 2500 English Creek Ave, Bldg 400, Fl 2, Egg Harbor Township, NJ 08234 and can be reached out via phone at 609-677-7777 and via fax at 609-677-7727.

Provider Profile Details

NPI Number
1538990015
Provider Name
Matthew Robert Sullivan
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
2500 English Creek Ave, Bldg 400, Fl 2, Egg Harbor Township, NJ 08234
Phone Number
609-677-7777
Fax Number
609-677-7727
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2024
Last Update Date
November 12, 2024
Certification Date
November 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave
Bldg 400, Fl 2
Egg Harbor Township, NJ 08234
Zip
08234
Phone Number
609-677-7777
Fax Number
609-677-7727
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
2500 English Creek Ave
Bldg 400, Fl 2
Egg Harbor Township, NJ 08234
City
Egg Harbor Township
State
NJ
Zip
08234
Phone Number
609-677-7777
Fax Number
609-677-7727

License Information

License Number
26NJ15109500
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Matthew R Sullivan, FNP-C?

The NPI number of Matthew R Sullivan, FNP-C is 1538990015. It was assigned on August 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Matthew R Sullivan, FNP-C?

Matthew R Sullivan, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15109500.

Where does Matthew R Sullivan, FNP-C practice?

The practice location is 2500 English Creek Ave, Bldg 400, Fl 2, Egg Harbor Township, NJ 08234. The office can be reached at 609-677-7777 (phone) or 609-677-7727 (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 1538990015 directly on the NPPES registry website.

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