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DR. DANIEL PETER SULLIVAN DDS
NPI 1649376468
Dentist - Oral and Maxillofacial Surgery in Warren, NJ

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
58 MOUNT BETHEL RD, STE 202, WARREN, NJ 07059(908) 222-7922(908) 222-7923 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel Peter Sullivan Dds NPPES

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

DR. DANIEL PETER SULLIVAN DDS (NPI 1649376468) is an individual oral and maxillofacial surgery provider in Warren, New Jersey, licensed in New Jersey (22DI02036700) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of New York University College Of Dentistry (1998).

NPPES Registry Identity

NPI1649376468
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DANIEL PETER SULLIVANCredential: DDS
Location Address58 MOUNT BETHEL RD, STE 202Warren, NJ 07059-2654
Mailing Address58 Mount Bethel Rd, Ste 202Warren, NJ 07059-2654 · (908) 222-7922 · Fax (908) 222-7923
Phone(908) 222-7922
Fax(908) 222-7923
Sole ProprietorNo
Medical School CMSNew York University College Of DentistryGraduated 1998
Enumeration DateSeptember 16, 2006
Last NPPES UpdateNovember 3, 2015
✔ NPI 1649376468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 22DI02036700
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
58 MOUNT BETHEL RD, Warren, NJ 07059
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Other Names 1

Professional Name (2)Dr. Daniel Peter Sullivan Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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. Daniel Peter Sullivan Dds 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 ID5395063994
PECOS Enrollment IDI20170221002268
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
155 services155 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
69 services69 patients
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.
24 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07059 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 4

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

HENRY LEE MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
58 MOUNT BETHEL RD, STE 302
WARREN, NJ 07059
Somerset County (908) 738-1160
WARREN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC
Dentist (Oral and Maxillofacial Surgery)
58 MOUNT BETHEL RD, SUITE 202
WARREN, NJ 07059
Somerset County (908) 222-7922
DR. CRAIG L MENKER DMD, CAGS
Dentist (Orthodontics and Dentofacial Orthopedics)
58 MOUNT BETHEL RD, SUITE 201
WARREN, NJ 07059
Somerset County (908) 756-6006
LEE AESTHETIC CENTER, LLC
Ophthalmology
58 MOUNT BETHEL RD, SUITE 302
WARREN, NJ 07059
Somerset County (908) 738-1160

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 Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1649376468. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Dr. Daniel Peter Sullivan Dds.

Where is Daniel Sullivan located?

Daniel Sullivan practices at 58 Mount Bethel Rd Ste 202, Warren, NJ 07059. The listed phone number is (908) 222-7922.

What is Daniel Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Daniel Sullivan enrolled in Medicare?

Yes. Daniel 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 Daniel Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Daniel 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 Daniel Sullivan affiliated with any hospitals?

According to CMS data, Daniel Sullivan is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Sullivan was last updated on November 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.