SUNRISE MEDICAL GROUP PLLC (NPI# 1124464532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124464532 |
| Entity Type | Organization |
| Organization Name | SUNRISE MEDICAL GROUP PLLC |
| Practice Address |
543 E 137th St Bronx NY 10454-4225 |
| Mailing Address |
219 20th St Huntington Beach CA 92648-3913 |
| Practice Telephone | 9178918500 |
| Practice Fax Number | 9178918501 |
| Mailing Telephone | 9178918500 |
| Mailing Fax Number | 9178918501 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | DR. SURESH VEERAMACHANENI (PRESIDENT / CFO) |
| Authorized Official Telephone | 9178918500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 243118-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LICENSE | 243118-1 | 01 |
| Street Address |
543 E 137TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10454-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912043209 | Pharmacia Lacross Inc | Pharmacy | 543 E 137th St, Bronx, NY 10454 | 2007-01-30 |
| 1962734095 | Jay Howard Fishman | Pharmacist | 543 E 137th St, Bronx, NY 10454-4202 | 2010-01-29 |
| 1104024793 | John C Megarr Rehabilitation Medicine PC | Clinic/Center | 543 E 137th St, Bronx, NY 10454-4202 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206027 | Mirna Aracelis Vasquez | Specialist | 1691 E 174th St Apt 3a, Bronx, NY 10472-1733 | 2020-08-19 |
| 1588273874 | Lorens Dominguez | Specialist | 1280 Commonwealth Ave Apt 2l, Bronx, NY 10472-2816 | 2020-07-23 |
| 1184242935 | Mayelin Y Rodriguez | Specialist | 2910 Valentine Ave Apt 26a, Bronx, NY 10458-2762 | 2020-07-08 |
| 1972120251 | Osaze Monica Igbineweka | Specialist | 590 Eagle Ave, Bronx, NY 10455-2915 | 2020-07-02 |
| 1285253948 | Omaira Alfonsina Tejada Amaro | Specialist | 234 E 149th St Ste 4-20, Bronx, NY 10451-5504 | 2020-04-13 |
| 1417586595 | Vascular Medicine of New York, Pllc | Specialist | 3250 Westchester Ave Ste 201, Bronx, NY 10461-4580 | 2020-04-02 |
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1043850423 | Katherine Hambel | Specialist | 283 E 234th St Apt 2e, Bronx, NY 10470-2212 | 2020-01-13 |
| 1801435953 | Delis S Ventura | Specialist | 74 Van Cortlandt Park S Apt Ee31, Bronx, NY 10463-3075 | 2020-01-06 |
| 1528606282 | Steffani M Russo | Specialist | 3058 Bailey Ave Apt 2s, Bronx, NY 10463-5820 | 2019-12-12 |
| Find all providers in BRONX | ||||
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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.