SUNRISE MEDICAL PRACTICE PC (NPI# 1629495601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629495601 |
| Entity Type | Organization |
| Organization Name | SUNRISE MEDICAL PRACTICE PC |
| Practice Address |
1975 Hylan Blvd Staten Island NY 10306-3526 |
| Mailing Address |
1975 Hylan Blvd Staten Island NY 10306-3523 |
| Practice Telephone | 7186675400 |
| Practice Fax Number | 7183516848 |
| Mailing Telephone | 7186675400 |
| Mailing Fax Number | 7183516848 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | STEVEN SCHIEBERT (PRESIDENT) |
| Authorized Official Telephone | 7186675400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
257063 | NY | Ambulatory Health Care Facilities |
| Street Address |
1975 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679677892 | Jeffry Tambor | Internal Medicine | 1975 Hylan Blvd, Ste 3, Staten Island, NY 10306-3523 | 2006-09-08 |
| 1669888277 | Staten Island Medical of New York LLC | Surgery | 1975 Hylan Blvd, Staten Island, NY 10306 | 2014-07-02 |
| 1134479306 | Jessica L Consolmagno | Physician Assistant | 1975 Hylan Blvd, Staten Island, NY 10306-3523 | 2012-09-14 |
| 1205042546 | Steven S. Schiebert | Orthopaedic Surgery | 1975 Hylan Blvd, Suite 1, Staten Island, NY 10306-3523 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1538623376 | Explorer Optical Inc | Clinic/Center | 1351 Forest Ave, Staten Island, NY 10302-2049 | 2019-01-25 |
| 1346601333 | Penrose Dermatology Pllc | Clinic/Center | 1110 South Ave, Suite 400, Staten Island, NY 10314-3403 | 2016-03-17 |
| 1780943845 | Elena Sanders, Md, P.C. | Clinic/Center | 400 Seaview Ave, Staten Island, NY 10305-2216 | 2012-05-10 |
| 1407133440 | Seaview Skin Cancer Surgery, LLC | Clinic/Center | 256 Mason Ave # C, Third Floor, Staten Island, NY 10305-3408 | 2011-11-04 |
| 1255663001 | Nanette Alexander-thomas Md | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2010-02-04 |
| 1396900940 | Elaine Shnitkind Md P.C. | Clinic/Center | 3710 Richmond Ave, Staten Island, NY 10312-3865 | 2008-07-23 |
| 1942461967 | Ila Sukhadia, Medical, P.C. | Clinic/Center | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2008-06-23 |
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| 1386283695 | Queens Podiatry Pllc | Clinic/Center | 7001 Grand Ave, Maspeth, NY 11378-1820 | 2020-01-03 |
| 1184262255 | Health & Wellness Group Inc | Clinic/Center | 211 Broadway Ste 205, Lynbrook, NY 11563-3290 | 2019-12-19 |
| 1285278606 | Pure Eyecare Optometry P.C. | Clinic/Center | 10537 65th Ave Apt 4d, Forest Hills, NY 11375-1818 | 2019-10-29 |
| 1720629454 | International Travel Medicine, PC | Clinic/Center | 200 S Service Rd Ste 212, Roslyn Hts, NY 11577-2118 | 2019-10-03 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
| 1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
| 1598259996 | Ds Medical Diagnostics PC | Clinic/Center | 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.