DR. JOHN S SULLIVAN MD
NPI 1568466324
Allergy & Immunology - Allergy in Worcester, MA

Active since June 09, 2005
100 MLK JR BLVD, 2ND FLOOR, WORCESTER, MA 01608(508) 757-1589(508) 756-5633 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John S Sullivan Md NPPES

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

DR. JOHN S SULLIVAN MD (NPI 1568466324) is an individual allergy provider in Worcester, Massachusetts, licensed in Massachusetts (57446) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1568466324
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDR. JOHN S SULLIVANCredential: MD
Location Address100 MLK JR BLVD, 2ND FLOORWorcester, MA 01608-1209
Mailing Address100 Mlk Jr Blvd, 2nd FloorWorcester, MA 01608-1209 · (508) 757-1589 · Fax (508) 756-5633
Fax(508) 756-5633
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateSeptember 3, 2008
NPI 1568466324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in MA · 57446
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
100 MLK JR BLVD, Worcester, MA 01608

Other Identifiers 14

Other057446MA · Tufts Healthplan
Other042923137MA · Tax Id Group Number
Other26920MA · Children's Medical Securi
Medicare UPINF71804MA
Other985163MA · Network Health
Other63777MA · Fallon Health Plan
Medicaid6189768MA
Other0200248MA · United Health Care
OtherJ30252MA · Blue Cross Blue Shield
Other645387MA · Harvard Pilgrim
Other0029830MA · Neighborhood Health Plan
Other2376607MA · Aetna Healthcare
Other326051MA · Cigna Healthcare
Medicare ID-Type UnspecifiedJ30252MA

Other Providers at the Same Location NPPES 10

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

Allergy & Immunology (Allergy)
100 MLK JR BLVD, 2ND FLOOR
WORCESTER, MA 01608
Allergy & Immunology (Allergy)
100 MLK JR BLVD, 2ND FL
WORCESTER, MA 01608
Nurse Practitioner
100 MLK JR BLVD
WORCESTER, MA 01608
Nurse Practitioner (Family)
100 MLK JR BLVD, SUITE 200 (CENTRAL MASS ALLERGY AND ASTHMA CARE)
WORCESTER, MA 01608
Obstetrics & Gynecology (Gynecology)
100 MLK JR BLVD, SUITE 300
WORCESTER, MA 01608
Physician Assistant
100 MLK JR BLVD, 2ND FLOOR
WORCESTER, MA 01608
Nurse Practitioner (Family)
100 MLK JR BLVD
WORCESTER, MA 01608
Obstetrics & Gynecology
100 MLK JR BLVD, STE 300
WORCESTER, MA 01608

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1568466324. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is John Sullivan located?

John Sullivan practices at 100 Mlk Jr Blvd 2nd Floor, Worcester, MA 01608. The listed phone number is (508) 757-1589.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.