Doctor profile · Federal record
Dr. Jessica Sullivan, PA
Physician Assistant · Newark, NY
- NPI 1073849089
- 17 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1200 Driving Park Ave
Newark, NY 145131057
(315) 332-2290
Credentials & registration
- NPI registered
- October 2009 — 17 yrs on file
- Profile last updated
- July 28, 2010
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #013672
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073849089. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abiomed | 1 | $23.17 |
By nature of payment
Frequently asked questions
What is Dr. Jessica Sullivan's medical specialty?
Dr. Jessica Sullivan practices Physician Assistant in Newark, NY.
Where does Dr. Jessica Sullivan practice?
Dr. Jessica Sullivan practices at 1200 Driving Park Ave, Newark, NY 145131057. Office phone: 3153322290.
What is Dr. Jessica Sullivan's NPI?
Dr. Jessica Sullivan's National Provider Identifier (NPI) is 1073849089, issued by NPPES.