Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Scott Sullivan, PA-C

Individual provider Physician Assistant · NPI 1881126431

Jordan Scott Sullivan, PA-C is a Physician Assistant in Princeton, New Jersey. Qualified in 2017, 9 years ago. Practices with Orthonj LLC, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Rhode Island.

Years since qualifying
9
Licensed in
NJ, RI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

325 Princeton Ave
Princeton, NJ 08540-1617
Phone: (609) 924-8131
Fax: (609) 924-8532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (401) 456-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00670500 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA00968 (RI)

Record details

NPI number1881126431
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthonj Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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