| Sean Dominick Sullivan, DO | |
|
385 Tremont Ave, East Orange, NJ 07018-1023 | |
| (973) 676-1000 | |
| Not Available |
| Full Name | Sean Dominick Sullivan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 385 Tremont Ave, East Orange, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407146699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MN09491400 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visiting Nurse Association Of Englewood | Englewood, NJ | Hospice |
| Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
| Jewish Home At Rockleigh | Rockleigh, NJ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Englewood Pc | 1355512252 | 514 |
| Entity Name | Medical Associates Of Englewood Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
| Entity Name | Physician Partners Of Englewood Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154671501 PECOS PAC ID: 1153572482 Enrollment ID: O20121115000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Dominick Sullivan, DO 385 Tremont Ave, East Orange, NJ 07018-1023 Ph: (973) 676-1000 | Sean Dominick Sullivan, DO 385 Tremont Ave, East Orange, NJ 07018-1023 Ph: (973) 676-1000 |
Tara Rajiyah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Pl Ste 4, East Orange, NJ 07018 Phone: 973-395-1550 | |
Mrs. Indu N Vira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 60 Evergreen Place, Suite 400, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Vijay Ragavan, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, Va New Jersey Healthcare System, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7003 | |
Dr. Amrutha Viswanatha, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Sithiporn Sastrasinh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave., Medical Service (111), East Orange, NJ 07018 Phone: 973-395-7771 | |
Mr. Kulandaivelu Chandrasekaran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave Ste 9-167 Msc 111, Veterans Affairs Medical Center, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Nabeel Obaid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 |