DR. ELLEN J SULLIVAN DDS
NPI 1598759789
Dentist - General Practice in Queens Village, NY

Q: What is Ellen Sullivan's NPI number?

The NPI number for Ellen Sullivan is 1598759789. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Ellen Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 02, 2005PECOS Enrolled

21414 SPENCER AVE, QUEENS VILLAGE, NY 11427(718) 468-1812(718) 468-1815 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ellen J Sullivan Dds NPPES

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

DR. ELLEN J SULLIVAN DDS (NPI 1598759789) is an individual general practice provider in Queens Village, New York, licensed in New York (036823) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598759789

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELLEN J SULLIVANCredential: DDS

Location Address21414 SPENCER AVEQueens Village, NY 11427-1821

Mailing Address21414 Spencer AveQueens Village, NY 11427-1821 · (718) 468-1812 · Fax (718) 468-1815

Phone(718) 468-1812

Fax(718) 468-1815

Enumeration DateSeptember 2, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1598759789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 036823

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

21414 SPENCER AVE, Queens Village, NY 11427

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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)

Dr. Ellen J Sullivan Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11427 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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

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 Ellen Sullivan's NPI number?

The NPI number for Ellen Sullivan is 1598759789. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Ellen Sullivan located?

Ellen Sullivan practices at 21414 Spencer Ave, Queens Village, NY 11427. The listed phone number is (718) 468-1812.

What is Ellen Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ellen Sullivan enrolled in Medicare?

Yes. Ellen Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.