IndividualActive
Jaysen Sullivan
NPI 1700596897 · Specialist · Staten Island, NY
Jaysen Sullivan is a Specialist provider in Staten Island, NY (NPI 1700596897).
Provider details
- NPI number
- 1700596897
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- $$$$$$$$$ (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
683 Henderson Ave
Staten Island, NY 10310-1575
Phone: (718) 682-1831
Street-level locationGet directions
Mailing address
31 New St
Staten Island, NY 10302-1540
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Frequently asked questions
- What is Jaysen Sullivan's NPI number?
- Jaysen Sullivan's National Provider Identifier (NPI) is 1700596897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaysen Sullivan's specialty?
- Jaysen Sullivan is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jaysen Sullivan located?
- Jaysen Sullivan's practice location on file with NPPES is 683 Henderson Ave, Staten Island, NY 10310-1575.
- What is Jaysen Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jaysen Sullivan is (718) 682-1831.
- Is Jaysen Sullivan's NPI active?
- Yes — Jaysen Sullivan's NPI (1700596897) is active in the NPPES registry as of the last update on 2022-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.