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

Meagan M Sullivan

Individual provider Nurse Practitioner · NPI 1225664170

Meagan M Sullivan is an Internal Medicine in Lindenhurst, New York. Qualified in 2020, 6 years ago. Practices with Long Island Medical Care Services PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
3

Practice location Address checks out

910 Route 109 Ste A
Lindenhurst, NY 11757-1158
Phone: (631) 991-3235
Fax: (631) 397-0919
Show map & directions

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

Additional practice locations (1)

  • 910 Route 109 Ste A, Lindenhurst, NY 11757-1158 — (631) 383-9967

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 309601 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 309601 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 309601 (NY)

Record details

NPI number1225664170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2020
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address910 Route 109 Ste A, Lindenhurst, NY 11757-1158

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Long Island Medical Care Services Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lindenhurst