| Mrs Jaclyn Emma Sullivan, NP-C | |
|
466 Old Hook Rd Ste 1, Emerson, NJ 07630-1368 | |
| (201) 967-8221 | |
| (201) 967-0340 |
| Full Name | Mrs Jaclyn Emma Sullivan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 466 Old Hook Rd Ste 1, Emerson, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730644873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AG01190175 (New Jersey) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | AG01190175 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Hospital | Paramus, NJ | Hospital |
| Hackensack Meridian Health Pascack Valley Medical | Westwood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mpv New Jersey Md Services Pc | 5991097669 | 146 |
| Entity Name | Optum Medical Care of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
| 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 | Mpv New Jersey MD Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215391271 PECOS PAC ID: 5991097669 Enrollment ID: O20160718000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jaclyn Emma Sullivan, NP-C 44 Dearborn Dr, Old Tappan, NJ 07675-7321 Ph: Not Available | Mrs Jaclyn Emma Sullivan, NP-C 466 Old Hook Rd Ste 1, Emerson, NJ 07630-1368 Ph: (201) 967-8221 |
Becker Ganiche, PMHNP- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Old Hook Rd Ste 15, Emerson, NJ 07630 Phone: 201-342-4004 |
Eui Kim, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630 Phone: 201-967-8221 |
Melanie M. Robles-jain, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 452 Old Hook Rd, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505 |
Nedelina Biokua, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630 Phone: 201-483-2678 |
Mrs. Jaclyn M. Heuer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 466 Old Hook Rd Ste 1, Emerson, NJ 07630 Phone: 201-967-8221 Fax: 201-967-0340 |
Mary Barr, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505 |
Kathe Olohan, RN APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Old Hook Rd Fl 2, Emerson, NJ 07630 Phone: 201-666-3900 Fax: 201-261-0505 |