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MEGAN ALISE SULLIVAN
NPI 1790272466
Oral & Maxillofacial Surgery in New Hyde Park, NY

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
270-05 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-7110 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2025, Jan 7, 2025, Apr 18, 2018 (3 updates tracked since 2018).

About Megan Alise Sullivan NPPES

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

MEGAN ALISE SULLIVAN (NPI 1790272466) is an individual oral & maxillofacial surgery provider in New Hyde Park, New York, licensed in New York (331335) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2021).

NPPES Registry Identity

NPI1790272466
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameMEGAN ALISE SULLIVAN
Location Address270-05 76TH AVENew Hyde Park, NY 11040
Mailing Address1214 5th Ave Apt 22eNew York, NY 10029-5220 · (339) 235-0425
Phone(718) 470-7110
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2021
Enumeration DateApril 18, 2018
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1790272466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NY · 331335
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 064286 (NY)
270-05 76TH AVE, New Hyde Park, NY 11040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Megan Alise Sullivan 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 ID547794083
PECOS Enrollment IDI20241106003857
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.

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

VIVEK MUKTESH MEHTA MD
Student in an Organized Health Care Education/Training Program
270-05 76TH AVE, RESEARCH BUILDING C LEVEL ROOM 039AB
NEW HYDE PARK, NY 11040
Nassau County (718) 470-4475
DR. RAJIV SHARMA M.D.
Radiology (Radiation Oncology)
270-05 76TH AVE, DEPT OF RADIATION MEDICINE, LONG ISLAND JEWISH HOSPITAL
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7190
NICOLE ALYSSA MILEA PA-C
Physician Assistant (Medical)
270-05 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
MR. TONY BRIAN MAYERS NP
Nurse Practitioner (Adult Health)
270-05 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7810
NICOLE DONNELLY CAMPBELL MD
Student in an Organized Health Care Education/Training Program
270-05 76TH AVE, RESEARCH BUILDING - C LEVEL ROOM 039AB
NEW HYDE PARK, NY 11040
Nassau County (516) 884-4711
JESSICA RUOLIN SHENG
Student in an Organized Health Care Education/Training Program
270-05 76TH AVE, LONG ISLAND JEWISH MED CTR, RESEARCH BLDG RM B341
NEW HYDE PARK, NY 11040
Nassau County (718) 470-5382
AARON JAY GOLDSTEIN MD
Internal Medicine
270-05 76TH AVE, DEPT OF MED 2ND FL
NEW HYDE PARK, NY 11040
Nassau County (516) 562-4764
LONG ISLAND JEWISH MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
270-05 76TH AVE, ATTN: VIVO HEALTH PHARMACY AT LIJ
NEW HYDE PARK, NY 11040
Nassau County (718) 470-8486

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 Megan Sullivan's NPI number?

The NPI number for Megan Sullivan is 1790272466. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Megan Sullivan located?

Megan Sullivan practices at 270-05 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7110.

What is Megan Sullivan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Megan Sullivan enrolled in Medicare?

Yes. Megan 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 Megan Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Megan 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 Megan Sullivan affiliated with any hospitals?

According to CMS data, Megan Sullivan is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Sullivan was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.