Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jessica Sullivan, PA

Physician Assistant in Newark, NY · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073849089

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Registry record

Entity type Individual (Type 1)

Name Jessica Sullivan

Credential PA

Sex Female

Practice address 1200 Driving Park Ave, Newark, NY, 14513

Phone (315) 332-2290

Enumeration date Oct 26, 2009

Last updated in NPPES Jul 28, 2010

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 013672 (NY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jessica Sullivan?

Jessica Sullivan is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Lawrence Chessin Infectious Disease Physician · Newark, NY NPI 1396741898 Wade Brandt Family Nurse Practitioner · Newark, NY NPI 1629070297 Kenneth Toner Surgery Physician · Newark, NY NPI 1841263100 Grace Candelario Hospitalist Physician · Newark, NY NPI 1144253725 Lynn Brazee Family Nurse Practitioner · Newark, NY NPI 1720004328 Jeffrey Klempen Emergency Medicine Physician · Newark, NY NPI 1457366247 Steven Galutia Pediatrics Physician · Newark, NY NPI 1235140021 Caryl Bjorseth Pediatrics Physician · Newark, NY NPI 1306857297

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-28.