Active NPI
Sunrise Pediatrics
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1578722716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 168360-1
- Legal business name
- SUNRISE PEDIATRICS
- Practice address
- 2225 S Clinton Ave
Rochester, NY 14618-2664 - Phone
- (585) 244-5200
- Fax
- (585) 244-5202
- NPI assigned
- Jun 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Connelly-Katz, F.N.P
- Title
- Nurse Practioner/Office Manager
- Phone
- (585) 244-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 168360-1 | NY | Primary |
Addresses
Primary practice location
2225 S Clinton Ave
Rochester, NY 14618-2664
Mailing address
2225 S Clinton Ave
Rochester, NY 14618-2664
Phone (585) 244-5200
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/10496/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1578722716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 S CLINTON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182664",
"telephone_number": "585-244-5200",
"fax_number": "585-244-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 S CLINTON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182664",
"telephone_number": "585-244-5200",
"fax_number": "585-244-5202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "CONNELLY-KATZ",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "NURSE PRACTIONER/OFFICE MANAGER",
"authorized_official_telephone_number": "585-244-5200",
"authorized_official_credential": "F.N.P"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "168360-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.