Sunrise Obstetrics and Gynecology, LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

SUNRISE OBSTETRICS AND GYNECOLOGY, LLC

Practice address

831 Tennent Rd
Manalapan, NJ 07726-8288

Phone

(732) 972-4200

Fax

(732) 536-4288

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Ana Przytula

Title

Office Manager

Phone

(732) 972-4200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1427296003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-972-4200",
            "fax_number": "732-536-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-972-4200",
            "fax_number": "732-536-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE OBSTETRICS AND GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "PRZYTULA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-972-4200"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9112901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics Physician in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Obstetrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.