MEAGAN M SULLIVAN NPI 1225664170

NPI Information

  • NPI: 1225664170
  • Provider Name: MEAGAN M SULLIVAN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 910 ROUTE 109 STE A
    LINDENHURST, NY
    ZIP 11757
  • Phone: (631) 991-3235

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NPI Details

Meagan M Sullivan is an adult health nurse practitioner in Lindenhurst, NY. Meagan M Sullivan NPI is 1225664170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

910 ROUTE 109 STE A
LINDENHURST, NY
ZIP 11757-158
Phone: (631) 991-3235
Fax: (631) 397-0919

The NPI 1225664170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2020 and was last updated on 7/12/2024.

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
1363L00000XNurse Practitioner309601NEW YORKNo
2363LG0600XNurse PractitionerGerontology309601NEW YORKNo
3363LA2200XNurse PractitionerAdult Health309601NEW YORKYes

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: 11/21/2025

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