Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay Frederick Sullivan, MD

Individual provider Family Medicine Physician · NPI 1861426413

Jay Frederick Sullivan, MD is a Family Practice in Pulaski, New York. Qualified in 1985, 41 years ago. Practices with Pulaski Medical Urgent Care PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4882B N Jefferson St
Pulaski, NY 13142
Phone: (315) 298-2768
Fax: (315) 298-2846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 169461 (NY)

Record details

NPI number1861426413
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Pulaski Medical Urgent Care Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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