Sunrise Detox Toms River, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SUNRISE DETOX TOMS RIVER, LLC

Practice address

16 Whitesville Rd
Toms River, NJ 08753-4107

Phone

(732) 797-2505

NPI assigned

Mar 11, 2014

Last updated

Jun 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda R Burns, RN, CARN

Title

Chief NSG & Licensing Officer

Phone

(561) 951-8341

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Oct 25, 2023

Enrollment records 1

Practitioners 4

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.

• Virginia L Carreira, RN,FNP,C

  • Primary Care Nurse Practitioner
  • Long Branch, NJ
  • NPI 1801970868
  NPD
• Francine Dygulski

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1831501618
  NPD
• David E. Wolff, M.D.

  • Psychiatry Physician
  • Eatontown, NJ
  • NPI 1699971200
  NPD
• Gregory Charles Bunt, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1063420057
  NPD

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1467878702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612",
            "telephone_number": "561-318-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WHITESVILLE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534107",
            "telephone_number": "732-797-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DETOX TOMS RIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF NSG & LICENSING OFFICER",
        "authorized_official_telephone_number": "561-951-8341",
        "authorized_official_credential": "RN, CARN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "1000086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M. Sundheim, MD
• Epifanio I Sunga, OD
• Sunny Pediatrics
• Sunrise Ambulance Services Corp
• Sunrise Detox Toms River NJ, LLC
• Sunshine Advantage DDD LLC
• Sunshine Advantage of NJ LLC
• Sunshine Counseling Services, LLC
• Cathrene Dipus Suobiron, APN
• Superior Speech and Swallow LLC

• Mental Illness Community Based Residential Treatment Facility in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.