John Sullivan
Physician Assistant - Medical • Castleton, NY
This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Sullivan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
John Sullivan was a registered Physician Assistant - Medical practicing in Castleton, NY. Throughout an active medical career spanning 15 years, John Sullivan provided care at the practice location at COMMUNITY CARE SCHODACK until profile deactivation on 2021-06-14.
Practice Location & Contact Primary Location
Community Care Schodack
77 Miller Road, Suite 1
Castleton, NY 12033
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Medical in Castleton, NY
Practicing in Castleton, NY (3738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Internal Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 14, 2021
NPI status registered as active in NPPES database
Registered at COMMUNITY CARE SCHODACK, 77 MILLER ROAD, SUITE 1, CASTLETON, NY 12033 (Tel: 5184772167)
Registered at 711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 121102442
Recorded as JOHN SULLIVAN
Physician Assistant (License #001517 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
711 Troy Schenectady Rd, Suite 201
Latham, NY 121102442
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.