Sunrise Pain and Rehabilitation Medicine PC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

2030351 Issued in NY

Legal business name

SUNRISE PAIN AND REHABILITATION MEDICINE PC

Practice address

4602 6TH Ave
Brooklyn, NY 11220-1317

Phone

(347) 763-1091

Fax

(347) 763-1092

NPI assigned

Oct 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda Wang

Title

Manager

Phone

(347) 763-1091

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1205263290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201317",
            "telephone_number": "347-763-1091",
            "fax_number": "347-763-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201317",
            "telephone_number": "347-763-1091",
            "fax_number": "347-763-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PAIN AND REHABILITATION MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-763-1091",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "2030351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Dental Brooklyn 68 PLLC
• Sunrise Health Pharmacy Inc
• Sunrise Licensed Behavioral Analyst
• Sunrise Medical Care, PC
• Sunrise Medical Supply Corp
• Sunrise Rehab PT PC
• Sunrise Senior Center Inc
• Sunrx Optical Inc
• Sunset Corner Pharmacy Inc
• Sunset Dental, PC

• Rehabilitation Hospital Unit in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Rehabilitation Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.