Organization Active NPI

Sunny Medical PC

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1174968291
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUNNY MEDICAL PC
Practice address
1278 Ocean Parkway, Ground FL
Brooklyn, NY 11230
Phone
(718) 677-7484
Fax
(718) 677-6499
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Anastasiya Nikishkina, MDNPI 1912135500
Title
MD
Phone
(718) 677-7484

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X NY Primary

Addresses

Primary practice location

1278 Ocean Parkway, Ground FL
Brooklyn, NY 11230

Mailing address

1278 Ocean Parkway, Ground FL
Brooklyn, NY 11230
Phone (718) 677-7484

Other identifiers 1

IdentifierTypeStateIssuer
03474893MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0949326Sunny Medical PC1278 Ocean Parkway, Brooklyn, NY 11230Certificate of waiverNov 18, 2026

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1174968291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 OCEAN PARKWAY, GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-677-7484",
            "fax_number": "718-677-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 OCEAN PARKWAY, GROUND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-677-7484",
            "fax_number": "718-677-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "NIKISHKINA",
        "authorized_official_first_name": "ANASTASIYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-677-7484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03474893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.