JAMES DENNIS SULLIVAN MD
NPI 1871563551
Specialist in Great Neck, NY

Q: What is James Sullivan's NPI number?

The NPI number for James Sullivan is 1871563551. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is James Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 25, 2006PECOS Enrolled

91.25/100

CMS Quality Rating

600 NORTHERN BLVD, SUITE 111, GREAT NECK, NY 11021(516) 487-9454(516) 487-2745 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About James Dennis Sullivan Md NPPES

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

JAMES DENNIS SULLIVAN MD (NPI 1871563551) is an individual specialist in Great Neck, New York, licensed in New York (176543) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871563551

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJAMES DENNIS SULLIVANCredential: MD

Location Address600 NORTHERN BLVD, SUITE 111Great Neck, NY 11021-5200

Mailing Address600 Northern Blvd, Suite 111Great Neck, NY 11021-5200 · (516) 487-9454 · Fax (516) 487-2745

Phone(516) 487-9454

Fax(516) 487-2745

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateMarch 2, 2016

✔ NPI 1871563551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 176543

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.

600 NORTHERN BLVD, Great Neck, NY 11021

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Other Identifiers 3

Medicare UPINF50214NY

Medicare ID-Type Unspecified42H461NY

Medicaid01839674NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Dennis Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

3 suppliers20 claims510 services$8.17 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

2 suppliers14 claims2,190 services$1.58 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

2 suppliers23 claims570 services$3.46 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers16 claims715 services$0.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHELLE STEWART PA-C

Physician Assistant (Surgical)

600 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021

Nassau County (516) 627-8717

THE OTOLARYNGOLOGY AND FACIAL PLASTICS CENTER

Specialist

600 NORTHERN BLVD, SUITE 100
GREAT NECK, NY 11021

Nassau County (516) 428-3223

RICHARD J DAGOSTINO MD

Orthopaedic Surgery

600 NORTHERN BLVD, STE 300
GREAT NECK, NY 11021

Nassau County (516) 627-8717

DR. JOHN MICHAEL COSTABLE JR. MD

Internal Medicine (Gastroenterology)

600 NORTHERN BLVD, STE 106
GREAT NECK, NY 11021

Nassau County (516) 466-6075

SOPHIA CHUNYUN WANG L.AC

Acupuncturist

600 NORTHERN BLVD, SUITE 109
GREAT NECK, NY 11021

Nassau County (516) 543-3518

DR. MADISON EVE WEISS MD

Student in an Organized Health Care Education/Training Program

600 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 465-8460

DR. LAURENCE D. HABER M.D.

Psychiatry & Neurology (Neurology)

600 NORTHERN BLVD, SUITE 118
GREAT NECK, NY 11021

Nassau County (516) 498-1122

VINCENT A DERAMO MD

Ophthalmology

600 NORTHERN BLVD, SUITE 216
GREAT NECK, NY 11021

Nassau County (516) 466-0390

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 James Sullivan's NPI number?

The NPI number for James Sullivan is 1871563551. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is James Sullivan located?

James Sullivan practices at 600 Northern Blvd Suite 111, Great Neck, NY 11021. The listed phone number is (516) 487-9454.

What is James Sullivan's specialty?

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

Is James Sullivan enrolled in Medicare?

Yes. James Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Sullivan was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.