IndividualActive
Jennifer Sullivan
NPI 1164778635 · Early Intervention Provider Agency · Smithtown, NY
Jennifer Sullivan is a Early Intervention Provider Agency provider in Smithtown, NY (NPI 1164778635).
Provider details
- NPI number
- 1164778635
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 037715011 (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
51 Churchill Ln
Smithtown, NY 11787-4039
Phone: (163) 148-6819
Street-level locationGet directions
Mailing address
51 Churchill Ln
Smithtown, NY 11787-4039
Registry dates
- Enumerated
- 2012-08-02
- Last updated
- 2012-08-02
Frequently asked questions
- What is Jennifer Sullivan's NPI number?
- Jennifer Sullivan's National Provider Identifier (NPI) is 1164778635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Sullivan's specialty?
- Jennifer Sullivan is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency (Agencies).
- Where is Jennifer Sullivan located?
- Jennifer Sullivan's practice location on file with NPPES is 51 Churchill Ln, Smithtown, NY 11787-4039.
- What is Jennifer Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Sullivan is (163) 148-6819.
- Is Jennifer Sullivan's NPI active?
- Yes — Jennifer Sullivan's NPI (1164778635) is active in the NPPES registry as of the last update on 2012-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.