Organization Active NPI

Sunlyte Treatment Centers

  • Medical Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1033704630
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SUNLYTE TREATMENT CENTERS
Practice address
2556 N Front St
Philadelphia, PA 19133-4004
Phone
(215) 205-2294
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Janell L. Clark, APN-BCNPI 1598082059
Title
Owner
Phone
(215) 205-2294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

2556 N Front St
Philadelphia, PA 19133-4004

Mailing address

2556 N Front St
Philadelphia, PA 19133-4004
Phone (267) 457-3801

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Philadelphia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210722000731 PA Part B Supplier - Clinic/Group Practice 7113320573 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1408 Clearview St
Philadelphia, PA 19141
Phone (267) 457-3801

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1033704630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191334004",
            "telephone_number": "267-457-3801",
            "fax_number": "267-457-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191334004",
            "telephone_number": "215-205-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLYTE TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-205-2294",
        "authorized_official_credential": "APN-BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "address_1": "2556 N Front St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191334004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.