Organization Active NPI

Sunrise Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Springfield, NJ
National Provider Identifier
1053988923
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNRISE BEHAVIORAL HEALTH SERVICES LLC
Doing business as
SUNRISE BEHAVIORAL HEALTH SERVICES LLC
Practice address
11 Dundar Rd
Springfield, NJ 07081-3553
Phone
(908) 418-7920
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Emmanuel Okey Anyanwu, DNPNPI 1912417130
Title
Apn
Phone
(908) 418-7920

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11 Dundar Rd
Springfield, NJ 07081-3553

Mailing address

11 Dundar Rd
Springfield, NJ 07081-3553
Phone (908) 418-7920

Other identifiers 1

IdentifierTypeStateIssuer
0601225MedicaidNJ

Other names 1

  • SUNRISE BEHAVIORAL HEALTH SERVICES LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106001074 NJ Part B Supplier - Clinic/Group Practice 1052702776 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, NJ

National Provider Directory

National Provider Directory

Locations

11 Dundar Rd
Springfield, NJ 07081
Phone (866) 369-1090

Practitioners & affiliated clinicians

Practitioners 4

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1053988923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUNDAR RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813553",
            "telephone_number": "908-418-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DUNDAR RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813553",
            "telephone_number": "908-418-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "OKEY",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "908-418-7920",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601225",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE BEHAVIORAL HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.