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

NPPES Updated May 11, 2026
Primary practice
1200 Driving Park Ave
Newark, NY 145131057
(315) 332-2290

Credentials & registration

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073849089. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$23
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abiomed 1 $23.17

By nature of payment

Food and Beverage
$23

Frequently asked questions

Auto-generated from federal data
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.