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

Kathryn Sullivan, PA-C

Individual provider Medical Physician Assistant · NPI 1831733799

Kathryn Sullivan, PA-C is a Physician Assistant in Bronx, New York. Qualified in 2019, 7 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
7
Licensed in
CT, NY
In the registry since
2019
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

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone: (349) 271-8904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 95 Locust Ave, Danbury, CT 06810-6148 — (203) 739-7029

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 024377 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5908 (CT)

Record details

NPI number1831733799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 4, 2019
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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