Organization Active NPI

Sun Medical P.C

  • Internal Medicine Physician
  • Fort Lee, NJ
National Provider Identifier
1235233362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07942200 Issued in NJ
Legal business name
SUN MEDICAL P.C
Practice address
2200 Fletcher Ave
1St Floor
Fort Lee, NJ 07024-5005
Phone
(201) 944-3115
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sung Wook Sun
Title
M.D.
Phone
(201) 944-3115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07942200 NJ Primary

Addresses

Primary practice location

2200 Fletcher Ave
1St Floor
Fort Lee, NJ 07024-5005

Mailing address

339 Summit St
Norwood, NJ 07648-1218
Phone (201) 768-1918

Other identifiers 1

IdentifierTypeStateIssuer
0092312MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2200 Fletcher Ave
Fl 1
Fort Lee, NJ 07024
Phone (201) 944-3115

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235233362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 SUMMIT ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481218",
            "telephone_number": "201-768-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FLETCHER AVE",
            "address_2": "1ST FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245005",
            "telephone_number": "201-944-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "SUNG WOOK",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "201-944-3115"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07942200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092312",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.