NEAL PATRICK SULLIVAN
NPI 1336889153
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Neal Sullivan's NPI number?

The NPI number for Neal Sullivan is 1336889153. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Neal Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Neal Sullivan was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 30, 2022PECOS Enrolled

801 MASSACHUSETTS AVE FL 6, BOSTON, MA 02118(617) 414-5951(617) 414-9251 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Neal Patrick Sullivan NPPES

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

NEAL PATRICK SULLIVAN (NPI 1336889153) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336889153

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNEAL PATRICK SULLIVAN

Location Address801 MASSACHUSETTS AVE FL 6Boston, MA 02118-2605

Mailing Address801 Massachusetts Ave Fl 6Boston, MA 02118-2605 · (617) 414-5951 · Fax (617) 414-9251

Phone(617) 414-5951

Fax(617) 414-9251

Sole ProprietorNo

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1336889153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

801 MASSACHUSETTS AVE FL 6, Boston, MA 02118

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neal Patrick Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANIRUDH PRABU MD