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

MS. Irene Anne Sullivan, ANP

Individual provider Nurse Practitioner · NPI 1083942908

MS. Irene Anne Sullivan, ANP is a Nurse Practitioner in Roslyn, New York. Qualified in 1997, 29 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2009

Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone: (516) 562-6000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 302076 (NY)

Record details

NPI number1083942908
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedDecember 4, 2009
Last updated in NPPESDecember 4, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roslyn