MRS. JACQUELINE GLORIA SULLIVAN PA
NPI 1104051549
Physician Assistant in Bronx, NY
About Mrs. Jacqueline Gloria Sullivan Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE GLORIA SULLIVAN PA (NPI 1104051549) is an individual physician assistant in Bronx, New York and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jacqueline Gloria Sullivan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10467
BRONX, NY 10467
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 Jacqueline Sullivan's NPI number?
The NPI number for Jacqueline Sullivan is 1104051549. It was assigned to this individual provider in the NPPES registry on May 28, 2009.
Where is Jacqueline Sullivan located?
Jacqueline Sullivan practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.
What is Jacqueline Sullivan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jacqueline Sullivan enrolled in Medicare?
Yes. Jacqueline Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jacqueline Sullivan affiliated with any hospitals?
According to CMS data, Jacqueline Sullivan is affiliated with Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Sullivan was last updated on May 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.
