Sunrise Medical PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SUNRISE MEDICAL PC

Practice address

4039 Junction Blvd
Corona, NY 11368-2121

Phone

(718) 397-8866

NPI assigned

Jul 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sergio MartinezNPI 1336171040

Title

Dr

Phone

(718) 397-8866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Martinez

  • Pulmonary Disease Physician
  • Jackson Heights, NY
  • NPI 1336171040
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1023047289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682121",
            "telephone_number": "718-397-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682121",
            "telephone_number": "718-397-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "718-397-8866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Source of Physical Therapy PC
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• Frederick Sun, PT, DPT
• Won Sunwoo
• Support Evaluation and Intervention Services LCSW P.C
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• Stephanie Tacopina, PHD

• Pulmonary Disease Physician in Corona, NY
• Providers in Corona, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.