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KAILEY SULLIVAN DO
NPI 1841086774
Student in an Organized Health Care Education/Training Program in West Islip, NY

Active since April 17, 2025
1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-4163(631) 376-3420 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kailey Sullivan Do NPPES

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

KAILEY SULLIVAN DO (NPI 1841086774) is an individual student in an organized health care education/training program in West Islip, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1841086774
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAILEY SULLIVANCredential: DO
Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · Fax (631) 376-3420
Phone(631) 376-4163
Fax(631) 376-3420
Sole ProprietorYes
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1841086774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 MONTAUK HWY, West Islip, NY 11795
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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.

DR. ANTHONY NGUYEN MD
Obstetrics & Gynecology
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
LAUREN MARIE CHOBAN DO
Emergency Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
MISS MUNMUN AZIZ MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (929) 340-5665
TERENCE JAMES OMALLEY MD
Anesthesiology
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795
Suffolk County (631) 376-4088
PIOTR PAPUZINSKI MD
Internal Medicine
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
LAURIE WATERS PA
Physician Assistant
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
SHELLEY MATSON RN
Registered Nurse
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-3000
RIDDA MANZOOR MD
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163

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 Kailey Sullivan's NPI number?

The NPI number for Kailey Sullivan is 1841086774. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Kailey Sullivan located?

Kailey Sullivan practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-4163.

What is Kailey Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kailey Sullivan was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.