Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jay Frederick Sullivan, MD

Family Medicine Physician in Pulaski, NY · enumerated 2006.

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

National Provider Identifier

1861426413

Verified

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Registry record

Entity type Individual (Type 1)

Name Jay Frederick Sullivan

Credential MD

Sex Male

Practice address Pulaski, NY, 13142

Phone (315) 298-2768

Fax (315) 298-2846

Enumeration date Jul 10, 2006

Last updated in NPPES Jan 7, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 169461 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000006298	Other	-	RMSCO
169461-1W	Other	-	WORKER'S COMPENSATION
5900753	Other	-	GHI
01538238	Medicaid	NY	-
CC6514	Other	-	MEDICARE
799222	Other	-	AETNA HMO
161577435	Other	-	POMCO
5939163	Other	-	AETNA NON HMO
000006298	Other	-	BCBS
080155488	Other	-	MEDICARE RAILROAD
138562	Other	-	CIGNA
00020708301	Other	-	UNIVERA
691259	Other	-	MVP

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 Jay Sullivan?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-07.