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

Timothy J Sullivan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235989096

Timothy J Sullivan is a Student in an Organized Health Care Education/Training Program in Emerson, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

25 Hollywood Ave
Emerson, NJ 07630-1709
Phone: (201) 245-7109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235989096
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address25 Hollywood Ave, Emerson, NJ 07630-1709

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