Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1417031220 Deactivated / Inactive NPI Male Practitioner

John Sullivan

Physician Assistant - Medical • Castleton, NY

Public Directory Information & Medical Disclaimer

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.

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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.

Registration / Start Date October 25, 2006
NPI Deactivation Date June 14, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

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

Practice Address

Community Care Schodack
77 Miller Road, Suite 1

Castleton, NY 12033

Telephone 5184772167
Associated Practice Facility / Clinic
🏢 Community Care Physicians, Pc Facility NPI 1346522521

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Castleton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Castleton, NY (3738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License NY 001517

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1053303107

Doctor of Medicine (M.D.)

Dr. Aaron Quidort , MD

Internal Medicine

NPI 1053756395

Doctor of Medicine (M.D.)

Alissa Carter , FNP

Nurse Practitioner - Family

NPI 1073079828

Family Nurse Practitioner

Dr. Kelli Barry , MD

Internal Medicine

NPI 1124287917

Doctor of Medicine (M.D.)

Donna Schaefer

Physician Assistant

NPI 1174607972
James Leyhane

Internal Medicine

NPI 1255420634

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at COMMUNITY CARE SCHODACK, 77 MILLER ROAD, SUITE 1, CASTLETON, NY 12033 (Tel: 5184772167)

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Updated Business Mailing Address July 08, 2007

Registered at 711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 121102442

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SULLIVAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #001517 in NY)

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Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417031220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2021

Mailing Address

711 Troy Schenectady Rd, Suite 201

Latham, NY 121102442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.