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

Maranda Sullivan

Individual provider Obstetrics & Gynecology Physician · NPI 1578095998

Maranda Sullivan is an Obstetrics/Gynecology in Rochester, New York. Qualified in 2017, 9 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Licensed in
NY, PA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone: (588) 368-4570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Academy Ave, Danville, PA 17822-9800 — (570) 271-6211

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 329092 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence OT017810 (PA)

Record details

NPI number1578095998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rochester