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MR. JAYSEN SULLIVAN
NPI 1700596897
Specialist in Staten Island, NY

Active since November 29, 2022
683 HENDERSON AVE, STATEN ISLAND, NY 10310(718) 682-1831 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jaysen Sullivan NPPES

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

MR. JAYSEN SULLIVAN (NPI 1700596897) is an individual specialist in Staten Island, New York, licensed in New York ($$$$$$$$$) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1700596897
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JAYSEN SULLIVAN
Location Address683 HENDERSON AVEStaten Island, NY 10310-1575
Mailing Address31 New StStaten Island, NY 10302-1540 · (917) 202-6143
Phone(718) 682-1831
Sole ProprietorNo
Enumeration DateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1700596897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · $$$$$$$$$
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
683 HENDERSON AVE, Staten Island, NY 10310
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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 Jaysen Sullivan's NPI number?

The NPI number for Jaysen Sullivan is 1700596897. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Where is Jaysen Sullivan located?

Jaysen Sullivan practices at 683 Henderson Ave, Staten Island, NY 10310. The listed phone number is (718) 682-1831.

What is Jaysen Sullivan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaysen Sullivan was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.