JAMES M SULLIVAN JR. MD
NPI 1275697161
Internal Medicine - Rheumatology in Garden City, NY

Q: What is James Sullivan's NPI number?

The NPI number for James Sullivan is 1275697161. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is James Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

711 STEWART AVE, GARDEN CITY, NY 11530(516) 222-8654(516) 794-6227 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2021, Apr 2, 2021 (2 updates tracked since 2021).

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About James M Sullivan Jr. Md NPPES

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

JAMES M SULLIVAN JR. MD (NPI 1275697161) is an individual rheumatology provider in Garden City, New York, licensed in New York (138253) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Saginaw Valley Medical College - Nlg (1974).

NPPES Registry Identity

NPI1275697161

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameJAMES M SULLIVAN JR.Credential: MD

Location Address711 STEWART AVEGarden City, NY 11530-4731

Mailing Address975 Stewart AveGarden City, NY 11530-4816 · (516) 222-8654 · Fax (516) 794-6227

Phone(516) 222-8654

Fax(516) 794-6227

Sole ProprietorNo

Medical School CMSSaginaw Valley Medical College - NlgGraduated 1974

Enumeration DateDecember 22, 2006

Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration

NPPES CertifiedJuly 27, 2021

✔ NPI 1275697161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in NY · 138253

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

711 STEWART AVE, Garden City, NY 11530

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Other Identifiers 1

Medicaid00411927NY

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

James M Sullivan Jr. Md 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.

PECOS PAC ID1759426513

PECOS Enrollment IDI20100304000111

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

5,282 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

499 services312 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

368 services207 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

306 services225 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

171 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

118 services67 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

Other Providers at the Same Location NPPES 9

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

BJ'S WHOLESALE CLUB INC.

Eyewear Supplier

711 STEWART AVE
GARDEN CITY, NY 11530

Nassau County (516) 357-3679

CHASE ROWLEY PT

Physical Therapist

711 STEWART AVE
GARDEN CITY, NY 11530

Nassau County (516) 222-8680

MICHAEL MASCIELLO

Registered Nurse

711 STEWART AVE
GARDEN CITY, NY 11530

Nassau County (516) 227-3254

DR. JUDI A. LUTTIERI DPT

Physical Therapist

711 STEWART AVE
GARDEN CITY, NY 11530

Nassau County (516) 222-8654

ENDOSCOPY CENTER OF LONG ISLAND LLC

Clinic/Center (Endoscopy)

711 STEWART AVE, SUITE 114
GARDEN CITY, NY 11530

Nassau County (516) 227-3254

SHARON HOCHHAUSER

Nurse Practitioner (Family)

711 STEWART AVE
GARDEN CITY, NY 11530

Nassau County (516) 321-3434

DR. ERIC D DONNENFELD M.D.

Ophthalmology

711 STEWART AVE, STE 160
GARDEN CITY, NY 11530

Nassau County (516) 500-4200

PROPHASE DIAGNOSTICS NY, INC

Clinical Medical Laboratory

711 STEWART AVE, STE 200
GARDEN CITY, NY 11530

Nassau County (516) 464-6121

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1275697161. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is James Sullivan located?

James Sullivan practices at 711 Stewart Ave, Garden City, NY 11530. The listed phone number is (516) 222-8654.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is James Sullivan enrolled in Medicare?

Yes. James 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 James Sullivan affiliated with any hospitals?

According to CMS data, James Sullivan is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.