Active NPI
Sunrise Clinical Services, LLC
- Methadone Clinic
- Irvington, NJ
National Provider Identifier
1336404417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- SUNRISE CLINICAL SERVICES, LLC
- Practice address
- 22 Ball St
Irvington, NJ 07111-3521 - Phone
- (739) 372-1095
- Fax
- (973) 372-1096
- NPI assigned
- Jul 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Shvartsman
- Title
- Chief of Staff
- Phone
- (646) 251-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
22 Ball St
Irvington, NJ 07111-3521
Mailing address
22 Ball St
Irvington, NJ 07111-3521
Phone (973) 372-1095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0370703 | Medicaid | NJ |
Other names 1
- Oasis Clinical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Opioid treatment program
- Medicare-enrolled since Mar 6, 2026
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200514000178 | NJ | Part B Supplier - Opioid Treatment Program (Otp) | 4880025410 | Practice locations: Irvington, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2095829 | Sunrise Clinical Services | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
22 Ball St
Fl 1
Irvington, NJ 07111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Summit, NJ
- NPI 1942232517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1336404417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BALL ST",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113521",
"telephone_number": "973-372-1095",
"fax_number": "973-372-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BALL ST",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071113521",
"telephone_number": "739-372-1095",
"fax_number": "973-372-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE CLINICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-05",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "SHVARTSMAN",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"authorized_official_telephone_number": "646-251-8770"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0370703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oasis Clinical",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.