Jacqueline Gloria Sullivan, PA
Physician Assistant · Bronx, NY
Jacqueline Gloria Sullivan, PA is a physician assistant with a practice address in Bronx, New York, and NPI 1104051549, issued on May 28, 2009. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline Gloria Sullivan
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 111 E 210TH St, Bronx, NY 10467
- Phone
- (718) 920-4321
- Enumerated
- May 28, 2009
- Record last updated
- May 28, 2009 (not updated in 17 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20110128000138); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Stony Brook, School Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Also registered at 111 E 210TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Eliana Abboudi, PHARMDStudent in an Organized Health Care Education/Training Program1780205690
- Nidal Abdel MuhdiStudent in an Organized Health Care Education/Training Program1942764030
- Sara Abdelhalim, DO, MPHStudent in an Organized Health Care Education/Training Program1134756927
Verify Jacqueline Gloria Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Samaritan Medical Services PCWest Islip, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacqueline Gloria Sullivan among 15,555 physician assistant records in New York
Jacqueline Gloria Sullivan, PA is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 23% of them.
- NPI issued2009 · 23% of these records are older, 74% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2009 · median 2018 among the 8,158 with a school on file
- Record last updated2009 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,014 physician assistant records list a practice address in Bronx
They are 1,014 of the 32,017 NPPES records with a practice address in Bronx, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in Bronx → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Melanie Aure, PABronx, NY 104671528165347
- Laurie Behar, PABronx, NY 104671689767824
- Camille Bosquet, PABronx, NY 104671083707210
- Claudia Chang, PA-CBronx, NY 104671528067964
- Juliet Diabene, PABronx, NY 104671316030554
- Shelly-Ann Duncan, PABronx, NY 104671407950728
- Magalie Fonvil, PABronx, NY 104671215020458
- Matthew Gendron, PA-CBronx, NY 104671750480828
Common questions
What is Jacqueline Gloria Sullivan, PA's NPI number?
Jacqueline Gloria Sullivan, PA's National Provider Identifier (NPI) is 1104051549, issued on May 28, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Gloria Sullivan, PA located?
The NPPES record lists a practice address at 111 E 210TH St, Bronx, NY, 10467. Phone: (718) 920-4321. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Gloria Sullivan, PA's license?
Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.