Organization Active NPI

Sunrise Medical Group PLLC

  • Specialist
  • Bronx, NY
National Provider Identifier
1124464532
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
243118-1 Issued in NY
Legal business name
SUNRISE MEDICAL GROUP PLLC
Practice address
543 E 137TH St
Bronx, NY 10454-4225
Phone
(917) 891-8500
Fax
(917) 891-8501
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Dr. Suresh Veeramachaneni, M.D.NPI 1942279880
Title
President / Cfo
Phone
(917) 891-8500

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 243118-1 NY Primary

Addresses

Primary practice location

543 E 137TH St
Bronx, NY 10454-4225

Mailing address

219 20TH St
Huntington Beach, CA 92648-3913
Phone (917) 891-8500

Other identifiers 1

IdentifierTypeStateIssuer
243118-1OtherNYNEW YORK STATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1124464532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 20TH ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483913",
            "telephone_number": "917-891-8500",
            "fax_number": "917-891-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 E 137TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544225",
            "telephone_number": "917-891-8500",
            "fax_number": "917-891-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "VEERAMACHANENI",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PRESIDENT / CFO",
        "authorized_official_telephone_number": "917-891-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "243118-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "243118-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.