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JESSICA SULLIVAN PA
NPI 1073849089
Physician Assistant in Newark, NY

Active since October 26, 2009
1200 DRIVING PARK AVE, NEWARK, NY 14513(315) 332-2290 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sullivan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SULLIVAN PA (NPI 1073849089) is an individual physician assistant in Newark, New York, licensed in New York (013672) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1073849089
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA SULLIVANCredential: PA
Location Address1200 DRIVING PARK AVENewark, NY 14513-1057
Mailing Address1200 Driving Park AveNewark, NY 14513-1057
Phone(315) 332-2290
Sole ProprietorNo
Enumeration DateOctober 26, 2009
Last NPPES UpdateJuly 28, 2010
✔ NPI 1073849089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 013672
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1200 DRIVING PARK AVE, Newark, NY 14513
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANDON PATRICK NUGENT NP
Nurse Practitioner (Acute Care)
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (315) 359-2123
DR. YULIYA S REHAB MD
Hospitalist
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (315) 332-2022
DR. MICHAEL R JORDAN M.D.
Pediatrics
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (315) 359-2660
NEWARK-WAYNE COMMUNITY HOSPITAL
Clinical Medical Laboratory
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (585) 426-1234
MRS. ASHLEY L MOLISANI NP
Nurse Practitioner (Adult Health)
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (315) 332-2170
JENNIFER LYNN TORRES
Nurse Practitioner
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (315) 359-2557
JOSEPH ARTHUR GRZEGORSKI PA
Physician Assistant (Medical)
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (860) 391-5333
DAMAR TITSY-ANN MCINTYRE FNP
Nurse Practitioner (Family)
1200 DRIVING PARK AVE
NEWARK, NY 14513
Wayne County (315) 332-2266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1073849089. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 1200 Driving Park Ave, Newark, NY 14513. The listed phone number is (315) 332-2290.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.