MACK LEE SULLIVAN M.D. NPI 1881616068

NPI Information

  • NPI: 1881616068
  • Provider Name: MACK LEE SULLIVAN, M.D.
  • Classification: Physical Medicine & Rehabilitation - 208100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 369 WHITE PLAINS RD
    EASTCHESTER, NY
    ZIP 10709
  • Phone: (914) 395-3691

Map and Directions

Get Directions

NPI Details

Mack Lee Sullivan, M.D. is a physical medicine rehabilitation in Eastchester, NY with 31 years of experience. The provider is physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. Mack Lee Sullivan, M.D. NPI is 1881616068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1995

The provider's business location address is:

369 WHITE PLAINS RD
EASTCHESTER, NY
ZIP 10709-805
Phone: (914) 395-3691
Fax: (914) 395-3693

The NPI 1881616068 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Therapy procedure for walking training, each 15 minutes (HCPCS:97116)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Automated urinalysis test (HCPCS:81003)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Test for exercise-induced lung stress (HCPCS:94618)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Placement of ear probe for computerized measurement of sound with interpretation and report (HCPCS:92587)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 9/17/2025.

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
1208D00000XGeneral Practice203477NEW YORKNo
2208100000XPhysical Medicine & Rehabilitation203477NEW YORKYes
3207P00000XEmergency Medicine203477-1NEW YORKNo

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
15C5609OTHERNEW YORKHEALTHNET

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

NPI Synchronization or Removal

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.