Active NPI
Sunrise Blvd Medical PC
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1013263532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- SUNRISE BLVD MEDICAL PC
- Practice address
- 601 W 177TH St
New York, NY 10033-7152 - Phone
- (718) 963-0276
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard H McShane
- Title
- M.D
- Phone
- (718) 963-0276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
601 W 177TH St
New York, NY 10033-7152
Mailing address
601 W 177TH St
New York, NY 10033-7152
Phone (718) 963-0276
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1013263532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 177TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100337152",
"telephone_number": "718-963-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 177TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100337152",
"telephone_number": "718-963-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE BLVD MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-02",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "MCSHANE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "718-963-0276"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Sunny Adult Day Care Center
- Sunny Days Psychology & Speech Language Pathology
- Catherine Zeba Sunny, MD
- Christine Sunny, PA-C
- Shane Sunny, PHARMD
- Maria Sunseri, M.D.
- Sunshine Care Physical Therapy PC
- Sunshine Care Physical Therapy PC
- Sunshine Medical Behavioral Health Services PA
- Sunshine Services Enterprises Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.