Active NPI
Sunrise Medical Associates, PC
- Family Medicine Physician
- Valley Stream, NY
National Provider Identifier
1619167277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 175418
- Legal business name
- SUNRISE MEDICAL ASSOCIATES, PC
- Practice address
- 30 East Sunrise Highway
Suite 108
Valley Stream, NY 11581 - Phone
- (516) 791-5804
- Fax
- (516) 791-5809
- NPI assigned
- Jul 30, 2007
- 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
- Dr. Harold K. Sirota, D.O.
- Title
- President
- Phone
- (516) 791-5804
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 175418 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 171751 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 582205 | NY |
Addresses
Primary practice location
30 East Sunrise Highway
Suite 108
Valley Stream, NY 11581
Mailing address
30 East Sunrise Highway
Suite 108
Valley Stream, NY 11581
Phone (516) 791-5804
National Provider Directory
National Provider DirectoryLocations
30 E Sunrise Hwy
Ste 108
Valley Stream, NY 11581
Phone (516) 791-5804
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGEJCA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1770670713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1619167277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 EAST SUNRISE HIGHWAY",
"address_2": "SUITE 108",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "11581",
"telephone_number": "516-791-5804",
"fax_number": "516-791-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 EAST SUNRISE HIGHWAY",
"address_2": "SUITE 108",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "11581",
"telephone_number": "516-791-5804",
"fax_number": "516-791-5809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "SIROTA",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-791-5804",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "175418",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "171751",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "582205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.