Sunrise Community Care PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

SUNRISE COMMUNITY CARE PC

Practice address

9238 John F Kennedy Blvd
North Bergen, NJ 07047

Phone

(718) 551-1580

Fax

(212) 888-6024

NPI assigned

Jun 8, 2022

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry GordonNPI 1194520015

Title

Managing Partner

Phone

(718) 551-1580

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, and the practitioner matching its NPPES authorized official.

• Jerry Gordon

  • Contractor
  • Norht Bergen, NJ
  • NPI 1194520015
  NPD Authorized official
• Joseph F D'Amore, M.D.

  • Allergy & Immunology Physician
  • Staten Island, NY
  • NPI 1932193513

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1154050615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HUDSON ST FL 3",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016655",
            "telephone_number": "201-287-1777",
            "fax_number": "212-888-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 JOHN F KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "718-551-1580",
            "fax_number": "212-888-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGING  PARTNER",
        "authorized_official_telephone_number": "718-551-1580"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lokeash Subramani Shobana, MD.,
• Jeannette A. Sujovolsky, D.O.
• Summit Medical Arts Associates, LLC
• Christina Sun
• Hee Chang Sung, M.D.
• Patrick John Swaney, DO
• Syed S Jafri MD
• Synergy Sports and Medical, LLC
• T & F Drugs Inc (Atlas Drug and Nutrition)
• T&M Pharmacy Inc (Broadway Continental Drugs)

• Allergy Physician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Allergy Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.