Active NPI
Rey Simon Sunga, LPN
- Licensed Practical Nurse
- Cambridge, MA
National Provider Identifier
1407313398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN97167
- Practice address
- 1493 Cambridge St
Cambridge, MA 02139-1047 - Phone
- (617) 665-1000
- NPI assigned
- Feb 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN97167 | MA | Primary |
Addresses
Primary practice location
1493 Cambridge St
Cambridge, MA 02139-1047
Mailing address
14 Murdock St.
2-5
Somerville, MA 02145
Phone (628) 999-1259
Other practice location 1
5 Middlesex Ave
Somerville, MA 02145-1102
Phone (617) 591-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN97167 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1407313398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MURDOCK ST.",
"address_2": "2-5",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02145",
"telephone_number": "628-999-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391047",
"telephone_number": "617-665-1000"
}
],
"practiceLocations": [
{
"address_1": "5 Middlesex Ave",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "021451102",
"country_code": "US",
"telephone_number": "617-591-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUNGA",
"first_name": "REY SIMON",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN97167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.