Individual provider Active NPI

Eunice Eunjin Sun, CRNP

  • Family Nurse Practitioner
  • Upper Darby, PA
National Provider Identifier
1033794425
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023463 Issued in PA
Practice address
6787 Market St Ste 101
Upper Darby, PA 19082-1848
Phone
(610) 352-8000
Fax
(610) 886-4155
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023463 PA Primary

Addresses

Primary practice location

6787 Market St Ste 101
Upper Darby, PA 19082-1848

Mailing address

2601 Blair Mill Rd Apt C22
Willow Grove, PA 19090-1120
Phone (267) 261-8214

Other practice location 1

2600 W 9th St
Chester, PA 19013-2040
Phone (484) 480-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427003225 PA Practitioner - Nurse Practitioner 3577950286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-3311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP023463PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Apr 15, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Apr 15, 2024 Accepting new patients

Locations

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1033794425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BLAIR MILL RD APT C22",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901120",
            "telephone_number": "267-261-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 MARKET ST STE 101",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821848",
            "telephone_number": "610-352-8000",
            "fax_number": "610-886-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190132040",
            "country_code": "US",
            "telephone_number": "484-480-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "EUNICE",
        "middle_name": "EUNJIN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.