Organization Active NPI

Sun Wellness LLC

  • Internal Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1518279561
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA72880 Issued in NJ
Legal business name
SUN WELLNESS LLC
Practice address
3131 Princeton Pike
BLDG #4, Suite 206
Lawrenceville, NJ 08648-2201
Phone
(609) 895-1230
Fax
(609) 755-0157
NPI assigned
Jul 7, 2010
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Lydia Lijuan Sun, M.D.NPI 1578744041
Title
Owner
Phone
(609) 895-1230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA72880 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike
BLDG #4, Suite 206
Lawrenceville, NJ 08648-2201

Mailing address

3131 Princeton Pike
BLDG #4, Suite 206
Lawrenceville, NJ 08648-2201
Phone (609) 895-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101028001356 NJ Part B Supplier - Clinic/Group Practice 5092909523 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hamilton, NJ; Old Bridge, NJ; Union, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sun Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2273 Route 33
Ste 203
Trenton, NJ 08690
Phone (609) 588-5000

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": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1518279561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG #4, SUITE 206",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-895-1230",
            "fax_number": "609-755-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BLDG #4, SUITE 206",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-895-1230",
            "fax_number": "609-755-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "LIJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-895-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA72880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.