Sunterprise Health LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB09569900 Issued in NJ

Legal business name

SUNTERPRISE HEALTH LLC

Practice address

4 Forest Ave Ste 205
Paramus, NJ 07652-5214

Phone

(201) 879-0303

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sunny Kyung Chun, DONPI 1982986634

Title

Director

Phone

(917) 558-0393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SKC Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Sunny Kyung Chun, D.O.

  • Dermatology Physician
  • Paramus, NJ
  • NPI 1982986634

  NJ, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1043735343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE STE 205",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "917-558-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE STE 205",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "201-879-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTERPRISE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-558-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB09569900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982986634",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKC Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela G Sullivan, MS, RD, CNSD
• Summit Medical Group PA
• Summit Medical Group PA
• Sara J Sung, FNP
• Romellah Sunico, RPT
• Surgiplex LLC
• Ilona Wiener Surick, MD
• John S Surie, DC
• Karen M Surowiec, PSYD
• Katherine Sutton, LCSW

• All providers in Paramus, NJ
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.