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GREGORY F. SULLIVAN M.D. F.A.C.C. P.A. NPI 1215126065


NPI Information

NPI: 1215126065
Provider Name: GREGORY F. SULLIVAN , M.D., F.A.C.C., P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1117 ROUTE 46
SUITE 202
CLIFTON, NJ
ZIP 07013
Phone: (973) 779-1221
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GREGORY F. SULLIVAN , M.D., F.A.C.C., P.A. is a cardiovascular disease internal medicine in Clifton, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GREGORY F. SULLIVAN , M.D., F.A.C.C., P.A. NPI is 1215126065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1117 ROUTE 46
SUITE 202
CLIFTON, NJ
ZIP 07013-449
Phone: (973) 779-1221

The provider's authorized official is Gregory Franics Sullivan .
The authorized official title is Manager and has the following contact phone number (617) 230-9317.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional Cardiology25MA02285700NEW JERSEYNo
2207RC0000XInternal MedicineCardiovascular Disease25MA02285700NEW JERSEYYes
3207RC0000XInternal MedicineCardiovascular DiseaseNEW JERSEYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1076770MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.