Sunrise Med Plus LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SUNRISE MED PLUS LLC

Practice address

737 Commack Rd
Brentwood, NY 11717-7407

Phone

(631) 338-5776

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Hector Melgar

Title

Credentialing

Phone

(631) 338-5776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Sarita K Dorschug

  • Family Medicine Physician
  • Brentwood, NY
  • NPI 1811073935
  Medicare reassignment NPD
• Danny Fuzaylov

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1104100866
  Medicare reassignment

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1114519238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 COMMACK RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177407",
            "telephone_number": "631-338-5776",
            "fax_number": "631-859-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 COMMACK RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177407",
            "telephone_number": "631-338-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MED PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "631-338-5776"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chang Sam Suh, MD
• Adina Sullivan, RN
• Sun River Health Inc
• Eunice Mnena Sunde, RN
• Sunrise Detox Brentwood Ny, LLC
• Sunrise Med Plus LLC
• Susan Jo Swaine, REGISTERED NURSE
• Cecelia A Sweeney, LCSW CASAC
• Shaun Sweeney
• Masood H Syed, D.D.S.

• Adult Medicine Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.