Edward Sun, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

264207 Issued in NY

Practice address

3 Technology Dr
Stony Brook Internists, Ufpc
East Setauket, NY 11733-4064

Phone

(631) 444-5220

Fax

(631) 444-5225

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Suffolk HospitalGroup PAC ID 4981508082, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.sun@direct.stonybrookmedicine.edu
• Direct secure messaging: esun25181@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Suffolk Hospital

  • Hospitalist Physician
  • Riverhead, NY
  • NPI 1043402050
  Medicare reassignment Care Compare group NPD
• Central Suffolk Hosptial

  • Nurse Practitioner
  • Riverhead, NY
  • NPI 1841637741
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Suffolk Hospital

  • General Acute Care Hospital
  • Riverhead, NY
  • NPI 1386649804
  Care Compare affiliation

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1205096567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-0650",
            "fax_number": "631-638-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TECHNOLOGY DR",
            "address_2": "STONY BROOK INTERNISTS, UFPC",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334064",
            "telephone_number": "631-444-5220",
            "fax_number": "631-444-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EDWARD.SUN@DIRECT.STONYBROOKMEDICINE.EDU",
            "affiliation": "N",
            "address_1": "3 Technology Dr",
            "address_2": "Stony Brook Internists, UFPC",
            "city": "East Setauket",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117334064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suffolk Nurse Practitioner in Family Health PC
• Suffolk Plastic Surgeons, PC
• Suffolk Pulmonary and Sleep Disorder, PC
• Suffolk Thoracic Surgery Associates
• Heesuck Suh, M.D.
• Supreme Medical P.C.
• Raeysha Surendran, MS, ATC
• Howard Sussman, M.D.
• Suzanne J. Ennis Edd, LCSW, P.C.
• Satu M Svoboda, NP-C

• Internal Medicine Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.