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

Timothy O'Sullivan

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1912430687

Timothy O'Sullivan is a Sports Medicine in Wayne, New Jersey. Graduated from Rutgers New Jersey Medical School in 2017, 9 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
9
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2017

Practice location Address checks out

330 Ratzer Rd Ste B7
Wayne, NJ 07470-7704
Phone: (973) 317-0155
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 25MA11147600 (NJ)

Record details

NPI number1912430687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2017
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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