Sunset Road Medical Assoc PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MB05482000 Issued in NJ

Legal business name

SUNSET ROAD MEDICAL ASSOC PA

Doing business as

Sunset Road Medical Associates

Practice address

911 Sunset Rd
Burlington, NJ 08016-2250

Phone

(609) 387-8787

NPI assigned

Mar 28, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Sunset Road Medical Associates Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

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.

• Albert A Talone, DO

  • General Practice Physician
  • Burlington, NJ
  • NPI 1235235623
  NPD

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1245573237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SUNSET RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162250",
            "telephone_number": "609-387-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET ROAD MEDICAL ASSOC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB05482000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Road Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Anne Subramani
• Beth Ann Sullivan
• Tian Sun, PHARMD
• Priya Sundar
• Sunset Road Medical Assoc PA
• Sunset RX Pharmacy LLC (Sunset Rx Pharmacy)
• Nisha Surti, PHARMD
• Survive to Thrive Counseling Services LLC
• Leona Lynne Sweeney, LPN
• T&L Therapy Services

• Non-Pharmacy Dispensing Site in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.