DR. JAMES PATRICK SULLIVAN D.P.M
NPI 1508834151
Podiatrist - Foot & Ankle Surgery in Sea Girt, NJ

Q: What is James Sullivan's NPI number?

The NPI number for James Sullivan is 1508834151. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is James Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 09, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2130 ROUTE 35 UNIT 312, SEA GIRT, NJ 08750(732) 975-8200 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 9, 2026, Mar 7, 2023 (2 updates tracked since 2023).

On this page

About Dr. James Patrick Sullivan D.p.m NPPES

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

DR. JAMES PATRICK SULLIVAN D.P.M (NPI 1508834151) is an individual foot & ankle surgery provider in Sea Girt, New Jersey, licensed in New Jersey (25MD00227100) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and maintains a secondary practice location in Point Pleasant Boro.

NPPES Registry Identity

NPI1508834151

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JAMES PATRICK SULLIVANCredential: D.P.M

Location Address2130 ROUTE 35 UNIT 312Sea Girt, NJ 08750-1010

Mailing AddressPo Box 825159Philadelphia, PA 19182-5159

Phone(732) 975-8200

Sole ProprietorNo

Medical School CMSTemple University School Of Podiatric MedicineGraduated 1993

Enumeration DateMarch 9, 2006

Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1508834151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NJ · 25MD00227100

2130 ROUTE 35 UNIT 312, Sea Girt, NJ 08750

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Secondary Practice Location 1

Location 12911 Route 88 Ste 3Point Pleasant Boro, NJ 08742-2871 · Phone (732) 892-2100

Other Identifiers 1

Medicaid6920101NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. James Patrick Sullivan D.p.m 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 ID3375633381

PECOS Enrollment IDI20071214000051

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 26

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.

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.

885 services315 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

470 services173 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

284 services101 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

237 services34 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.

140 services37 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

135 services36 patients

Placement of strapping to toes 29550

Strapping toes is a procedure to stabilize or position the toes correctly. It's often used for conditions like hammertoes, fractures, or sprains. A special tape is applied to your toes to provide support, reduce pain, and promote healing.

90 services43 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

89 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

87 services87 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

81 services27 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

74 services12 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.

74 services40 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

71 services44 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

65 services24 patients

Placement of strapping to ankle or foot 29540

Strapping to the ankle or foot is a procedure involving the application of tape or a similar material to provide support and stability. It can help manage injuries, reduce pain, and prevent further harm. The process is non-invasive and typically performed by a trained professional.

63 services36 patients

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

56 services25 patients

Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less 97605

This procedure, known as Negative Pressure Wound Therapy, involves a special bandage and vacuum pump. The bandage covers your wound and the pump creates a vacuum, enhancing healing by removing excess fluid and promoting tissue growth. The surface area treated is 50.0 sq cm or less.

36 services12 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

33 services26 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

29 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services23 patients

Strapping, unna boot 29580

21 services11 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

20 services13 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

19 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services13 patients

Application of short leg splint from calf to foot 29515

A short leg splint is a support device applied from the calf to the foot. It's used to immobilize, protect, and support an injured leg or foot, promoting healing. It's typically made of plaster or fiberglass, padded for comfort, and secured with bandages.

13 services11 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

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.

75/100

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

Scored as part of a group practice

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 1508834151. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is James Sullivan located?

James Sullivan practices at 2130 Route 35 Unit 312, Sea Girt, NJ 08750. The listed phone number is (732) 975-8200.

What is James Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

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.

What insurance does James Sullivan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Sullivan affiliated with any hospitals?

According to CMS data, James Sullivan is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.