Mr. Jaysen Sullivan
Specialist in Staten Island, New York
1700596897- Practice location
- 683 Henderson Ave, Staten Island, NY 10310-1575
- Phone
- 718-682-1831
- Fax
- —
- Last updated
- November 29, 2022
Jaysen Sullivan is a Specialist based in Staten Island, NY. Jaysen Sullivan practices in Staten Island, NY. The NPI Number for Jaysen Sullivan is 1700596897 and holds a License No. $$$$$$$$$ (NY). The current practice location address for Jaysen Sullivan is 683 Henderson Ave, Staten Island, NY 10310-1575 and can be reached out via phone at 718-682-1831.
Provider Profile Details
- NPI Number
- 1700596897
- Provider Name
- Jaysen Sullivan
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 683 Henderson Ave, Staten Island, NY 10310-1575
- Phone Number
- 718-682-1831
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2022
- Last Update Date
- November 29, 2022
- Certification Date
- November 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 683 Henderson Ave
Staten Island, NY 10310-1575 - City
- Staten Island
- State
- New York
- Zip
- 10310-1575
- Phone Number
- 718-682-1831
Provider Business Mailing Address Details
- Address
- 31 New St
Staten Island, NY 10302-1540 - City
- Staten Island
- State
- NY
- Zip
- 10302-1540
- Phone Number
- 917-202-6143
License Information
- License Number
- $$$$$$$$$
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Mr. Jaysen Sullivan?
The NPI number of Mr. Jaysen Sullivan is 1700596897. It was assigned on November 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Jaysen Sullivan?
Mr. Jaysen Sullivan is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number $$$$$$$$$.
Where does Mr. Jaysen Sullivan practice?
The practice location is 683 Henderson Ave, Staten Island, NY 10310-1575. The office can be reached at 718-682-1831 (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 1700596897 directly on the NPPES registry website.