Fitness and Recovery Medical Practice, PC
NPI 1811363161ActiveOrganization· Physician Assistant· Eastchester, NY
Physician Assistant in Eastchester, New York, registered in NPPES in August 2015. The authorized official on file is Mack Lee Sullivan, MD, Director Of Operations.
Overview
| NPI | 1811363161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2015 |
| Last updated in NPPES | Aug 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 018927-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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