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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR MACK SULLIVAN TELEMEDICINE 1101 PC
NPI 1669388443
Family Medicine in Eastchester, NY

Active since August 20, 2026
369 WHITE PLAINS RD, EASTCHESTER, NY 10709(914) 395-3691 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr Mack Sullivan Telemedicine 1101 Pc NPPES

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

DR MACK SULLIVAN TELEMEDICINE 1101 PC (NPI 1669388443) is a healthcare organization registered as a family medicine in Eastchester, New York and active in the NPI registry since August 2026. The organization lists Mack Lee Sullivan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1669388443
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR MACK SULLIVAN TELEMEDICINE 1101 PC
Location Address369 WHITE PLAINS RDEastchester, NY 10709-2805
Mailing Address369 White Plains RdEastchester, NY 10709-2805 · (914) 395-3691
Phone(914) 395-3691
Organization SubpartNo
Authorized OfficialMack Lee SullivanMedical Director · (914) 395-3691
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1669388443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
369 WHITE PLAINS RD, Eastchester, NY 10709
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

FITNESS AND RECOVERY MEDICAL PRACTICE
Clinic/Center (Physical Therapy)
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 395-3691
JENNIFER L. TRICOMI LMHC
Counselor (Mental Health)
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (917) 828-3199
MACK LEE SULLIVAN MD MS URGENT MEDICAL CARE OF EASTCHESTER, PLLC
Clinic/Center (Urgent Care)
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 337-8743
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Clinic/Center (Urgent Care)
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 395-3691
SHIVANI SINGLA
Physical Therapist
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 395-3691
DR. STEVEN B SHAPIRO D.C.
Chiropractor
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 395-3691
FITNESS AND RECOVERY MEDICAL PRACTICE, PC
Physician Assistant
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 395-3691
ANTONINA MICHELLI
Physician Assistant
369 WHITE PLAINS RD
EASTCHESTER, NY 10709
Westchester County (914) 395-3691

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 Dr Mack Sullivan Telemedicine 1101 PC's NPI number?

The NPI number for Dr Mack Sullivan Telemedicine 1101 PC is 1669388443. It was assigned to this organization in the NPPES registry on August 20, 2026.

Where is Dr Mack Sullivan Telemedicine 1101 PC located?

Dr Mack Sullivan Telemedicine 1101 PC is located at 369 White Plains Rd, Eastchester, NY 10709. The listed phone number is (914) 395-3691.

What is Dr Mack Sullivan Telemedicine 1101 PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dr Mack Sullivan Telemedicine 1101 PC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.