Mr Richard Terence Sullivan, RN, APN,C - Nurse Practitioner in Newark, NJ

Mr Richard Terence Sullivan, RN, APN,C is a Nurse Practitioner - Adult Health based in Newark, New Jersey. Mr Richard Terence Sullivan is licensed to practice in New Jersey (license number 26NJ00071300) and his current practice location is 111 Central Ave, Cardiac Cath Lab, Newark, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 877-5153.

NPI number for Mr Richard Terence Sullivan is 1720181605 and his current mailing address is 12 Summit Rd, Oak Ridge, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720181605.

Contact Information

Mr Richard Terence Sullivan, RN, APN,C
111 Central Ave, Cardiac Cath Lab,
Newark, NJ 07102-1909
(973) 877-5153
(973) 877-2904

Map and Direction




Provider's Profile

Full NameMr Richard Terence Sullivan
GenderMale
SpecialityNurse Practitioner - Adult Health
Location111 Central Ave, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720181605
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Richard Terence Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720181605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 26NJ00071300 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Terence Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Richard Terence Sullivan, RN, APN,C
12 Summit Rd,
Oak Ridge, NJ 07438-9529

Ph: (973) 208-9896
Mr Richard Terence Sullivan, RN, APN,C
111 Central Ave, Cardiac Cath Lab,
Newark, NJ 07102-1909

Ph: (973) 877-5153

Reviews and Comments


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