Sunrise Medicine Limited Liability Company

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MB063024 Issued in NJ

Legal business name

SUNRISE MEDICINE LIMITED LIABILITY COMPANY

Practice address

357 Algonquin Rd
Franklin Lakes, NJ 07417-1001

Phone

(973) 956-3764

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 2012By 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

Dr. Supriya Massood, D.O.

Title

President

Phone

(973) 956-3764

Specialties & licenses 1

Addresses

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.

• Supriya M Parowski, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1720159940
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1477810935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 ALGONQUIN RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 ALGONQUIN RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171001",
            "telephone_number": "973-956-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICINE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MASSOOD",
        "authorized_official_first_name": "SUPRIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-956-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MB063024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Alexander Squilla, PT, DPT
• Emily Stefanelli, PHARMD
• Corie Stone, L.AC.
• Success Source Counseling and Life Coaching, LLC
• Paige B Suchoff
• Sunrise of Franklin Lakes Opco, LLC (Sunrise of Franklin Lakes)
• David Brand Sutter, M.D.
• Adriana Juliet Tandazo, PTA
• The Smile Stop Franklin Lakes
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy 829)

• Physical Medicine & Rehabilitation Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.