Organization Active NPI

Sunrise Anesthesia Associates, PC

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1346294881
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
185824 Issued in NY
Legal business name
SUNRISE ANESTHESIA ASSOCIATES, PC
Practice address
78 Todt Hill Road
Staten Island, NY 10314-4538
Phone
(718) 815-1000
Fax
(718) 815-8122
NPI assigned
May 20, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Ya-Tseng William Lu, M.D.NPI 1134162431
Title
MD
Phone
(718) 815-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 185824 NY Primary

Addresses

Primary practice location

78 Todt Hill Road
Staten Island, NY 10314-4538

Mailing address

302 Manor Road
Staten Island, NY 10314-2408
Phone (718) 815-1000

Other identifiers 2

IdentifierTypeStateIssuer
01475983MedicaidNY
25MA05042800OtherNJLIC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1346294881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MANOR ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142408",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TODT HILL ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144538",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "YA-TSENG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-815-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01475983",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "25MA05042800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.