SEAN DOMINICK SULLIVAN D.O.
NPI 1407146699
Internal Medicine in East Orange, NJ
About Sean Dominick Sullivan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN DOMINICK SULLIVAN D.O. (NPI 1407146699) is an individual internal medicine provider in East Orange, New Jersey, licensed in New Jersey (25MN09491400) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).
NPPES Registry Identity
Specialties & Licenses
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
Sean Dominick Sullivan D.o. 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07018 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.
EAST ORANGE, NJ 07018
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 Sean Sullivan's NPI number?
The NPI number for Sean Sullivan is 1407146699. It was assigned to this individual provider in the NPPES registry on April 9, 2011.
Where is Sean Sullivan located?
Sean Sullivan practices at 385 Tremont Ave, East Orange, NJ 07018. The listed phone number is (973) 676-1000.
What is Sean Sullivan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sean Sullivan enrolled in Medicare?
Yes. Sean 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 Sean Sullivan affiliated with any hospitals?
According to CMS data, Sean Sullivan is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Sean Sullivan was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sean Dominick Sullivan, D.O. · NPI 1407146699
Internal Medicine physician in East Orange, New Jersey. Individual provider, active in the CMS NPPES registry since April 9, 2011.
## Identity
- **NPI:** 1407146699 (Entity type: Individual)
- **Enumerated:** April 9, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MN09491400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 385 TREMONT AVE, East Orange, NJ 07018-1023
- **Phone:** (973) 676-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2011
## Record status
- **NPPES last updated:** February 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1407146699) · Data from the CMS NPPES public registry.