ROBERT G SULLIVAN NPI 1265750889

NPI Information

  • NPI: 1265750889
  • Provider Name: ROBERT G SULLIVAN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1 PENN PLAZA, 7TH FL. STE. 725
    EVERCARE/UNITED HEALTHCARE
    NEW YORK, NY
    ZIP 10019
  • Phone: (212) 216-6568

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NPI Details

Robert G Sullivan is an adult health nurse practitioner in New York, NY. Robert G Sullivan NPI is 1265750889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 PENN PLAZA, 7TH FL. STE. 725
EVERCARE/UNITED HEALTHCARE
NEW YORK, NY
ZIP 10019
Phone: (212) 216-6568
Fax: (212) 216-6606

The enumeration date for this NPI number is 5/6/2010 and was last updated on 5/6/2010.

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
1363LA2200XNurse PractitionerAdult Health305274NEW 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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