Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Sean Sullivan, RPA-C

Individual provider Physician Assistant · NPI 1255567871

Mr. Michael Sean Sullivan, RPA-C is a Physician Assistant in Mineola, New York. Qualified in 2008, 18 years ago. Practices with Chs Physician Partners PC, a 747-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012773-1 (NY)

Record details

NPI number1255567871
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedJune 10, 2009
Last updated in NPPESJune 10, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mineola