Active NPI
Sunlyte Treatment Centers
- Medical Specialty Clinic/Center
- Philadelphia, PA
National Provider Identifier
1033704630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janell L. Clark, APN-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary | ||
| Adult Health Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Philadelphia |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Philadelphia, PA
- NPI 1598082059
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.