Sun River Health Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SUN RIVER HEALTH INC.

Practice address

1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913

Phone

(914) 734-8800

Fax

(914) 734-8786

NPI assigned

Aug 18, 2005

Last updated

Mar 11, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUN RIVER HEALTH INC.As reported in NPPES

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

Authorized official

Name

Adam Lipton

Title

VP Info/Practice MGMT Systems

Phone

(914) 384-2375

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT46 enrollments

Enrollment records 46

NPI to CCN mapping 44

The Medicare certification numbers (CCNs) connected to NPI 1619969458. Details of each certification follow.

• CCN 331916 Federally qualified health center · Active · Details
• CCN 331829 Federally qualified health center · Active · Details
• CCN 331871 Federally qualified health center · Active · Details
• CCN 331872 Federally qualified health center · Active · Details
• CCN 331902 Federally qualified health center · Active · Details
• CCN 331904 Federally qualified health center · Active · Details
• CCN 331905 Federally qualified health center · Active · Details
• CCN 331903 Federally qualified health center · Active · Details
• CCN 331972 Federally qualified health center · Active · Details
• CCN 331973 Federally qualified health center · Active · Details
• CCN 331974 Federally qualified health center · Active · Details
• CCN 331975 Federally qualified health center · Active · Details
• CCN 331000 Federally qualified health center · Active · Details
• CCN 331989 Federally qualified health center · Active · Details
• CCN 331053 Federally qualified health center · Active · Details
• CCN 331048 Federally qualified health center · Active · Details
• CCN 331108 Federally qualified health center · Active · Details
• CCN 331112 Federally qualified health center · Active · Details
• CCN 331116 Federally qualified health center · Active · Details
• CCN 331120 Federally qualified health center · Active · Details
• CCN 331134 Federally qualified health center · Active · Details
• CCN 331137 Federally qualified health center · Active · Details
• CCN 331166 Federally qualified health center · Active · Details
• CCN 331176 Federally qualified health center · Active · Details
• CCN 571007 Federally qualified health center · Active · Details
• CCN 571049 Federally qualified health center · Active · Details
• CCN 571158 Federally qualified health center · Active · Details
• CCN 571166 Federally qualified health center · Active · Details
• CCN 571156 Federally qualified health center · Active · Details
• CCN 571155 Federally qualified health center · Active · Details
• CCN 571159 Federally qualified health center · Active · Details
• CCN 571167 Federally qualified health center · Active · Details
• CCN 571160 Federally qualified health center · Active · Details
• CCN 571152 Federally qualified health center · Active · Details
• CCN 571151 Federally qualified health center · Active · Details
• CCN 571154 Federally qualified health center · Active · Details
• CCN 571188 Federally qualified health center · Active · Details
• CCN 331802 Federally qualified health center · Active · Details
• CCN 331055 Federally qualified health center · Active · Details
• CCN 331800 Federally qualified health center · Active · Details
• CCN 331828 Federally qualified health center · Active · Details
• CCN 571879 Federally qualified health center · Active · Details
• CCN 571877 Federally qualified health center · Active · Details
• CCN 571907 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 331916

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 6, 2002

Last certification

Sep 6, 2002

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

75 Washington St
Poughkeepsie, NY 12601-2303

Federally qualified health center certification: CCN 331829

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 1, 1992

Last certification

Jan 1, 1992

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1037 Main St
Peekskill, NY 10566-2913

Federally qualified health center certification: CCN 331871

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 1, 1991

Last certification

Oct 1, 1991

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

888 Pulaski Hwy
Goshen, NY 10924-6034

Federally qualified health center certification: CCN 331872

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 1, 1992

Last certification

Feb 1, 1992

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

6 Henry St
Beacon, NY 12508-3058

Federally qualified health center certification: CCN 331902

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2001

Last certification

Aug 30, 2001

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

29 N Hamilton St
Poughkeepsie, NY 12601-2541

Federally qualified health center certification: CCN 331904

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2001

Last certification

Aug 30, 2001

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

3174 Route 22
Dover Plains, NY 12522-5924

Federally qualified health center certification: CCN 331905

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2001

Last certification

Aug 30, 2001

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

3360 Route 343
Amenia, NY 12501-5619

Federally qualified health center certification: CCN 331903

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2001

Last certification

Aug 30, 2001

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

75 Orange Ave
Walden, NY 12586-1816

Federally qualified health center certification: CCN 331972

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 7, 2007

Last certification

Dec 7, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

327 Front St
Greenport, NY 11944-1515

Federally qualified health center certification: CCN 331973

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 7, 2007

Last certification

Dec 7, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

31 W Broad St
FL 3
Haverstraw, NY 10927-1615

Federally qualified health center certification: CCN 331974

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 7, 2007

Last certification

Dec 7, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1 Paradies LN
New Paltz, NY 12561-4031

Federally qualified health center certification: CCN 331975

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 7, 2007

Last certification

Dec 7, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

23 Lakewood Ave
Monticello, NY 12701-2021

Federally qualified health center certification: CCN 331000

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 13, 2009

Last certification

Apr 13, 2009

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

2 Park Ave
Yonkers, NY 10703-3402

Federally qualified health center certification: CCN 331989

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 13, 2009

Last certification

Apr 13, 2009

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

503 S Broadway
Ste 210
Yonkers, NY 10705-6202

Federally qualified health center certification: CCN 331053

Legal name

SUN RIVER HEALTH INC.

Doing business as

HUDSON RIVER HEATLHCARE INC - SPRING VALLEY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 29, 2012

Last certification

Jun 29, 2012

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

2 Perlman Dr
Spring Valley, NY 10977-5245

Federally qualified health center certification: CCN 331048

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 26, 2012

Last certification

Jul 26, 2012

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

82 Middle Country Rd
Coram, NY 11727-4460

Federally qualified health center certification: CCN 331108

Legal name

SUN RIVER HEALTH INC.

Doing business as

SUN RIVER HEALTH SOUTHAMPTON

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 16, 2014

Last certification

Apr 16, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

330 Meeting House LN
Ste 1
Southampton, NY 11968-5064

Federally qualified health center certification: CCN 331112

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 18, 2014

Last certification

Jun 18, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

750 Union St
Hudson, NY 12534-3002

Related CCNs

331853

Federally qualified health center certification: CCN 331116

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 29, 2014

Last certification

Sep 29, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1080 Sunrise Hwy
Amityville, NY 11701-2526

Related CCNs

331972

Federally qualified health center certification: CCN 331120

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 16, 2014

Last certification

Oct 16, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1556 Straight Path
Wyandanch, NY 11798-3213

Federally qualified health center certification: CCN 331134

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 6, 2015

Last certification

Jan 6, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

501 N Ocean Ave
Patchogue, NY 11772-1758

Federally qualified health center certification: CCN 331137

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 30, 2015

Last certification

Jan 30, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

550 Montauk Hwy
Shirley, NY 11967-2114

Related CCNs

331916

Federally qualified health center certification: CCN 331166

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 9, 2015

Last certification

Sep 9, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1869 Brentwood Rd
Brentwood, NY 11717-4625

Federally qualified health center certification: CCN 331176

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 23, 2015

Last certification

Nov 23, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

300 Center Dr
Riverhead, NY 11901-3393

Federally qualified health center certification: CCN 571007

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 13, 2016

Last certification

Sep 13, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

84 N Highland Ave
Nyack, NY 10960-1831

Federally qualified health center certification: CCN 571049

Legal name

SUN RIVER HEALTH INC.

Doing business as

HRHCARE MIDDLETOWN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 21, 2016

Last certification

Nov 21, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

24 Union St
Middletown, NY 10940-4906

Federally qualified health center certification: CCN 571158

Legal name

SUN RIVER HEALTH INC.

Doing business as

SUN RIVER HEALTH QUEENS HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2019

Last certification

Feb 14, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

10504 Sutphin Blvd
Jamaica, NY 11435-5022

Federally qualified health center certification: CCN 571166

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 4, 2019

Last certification

Feb 4, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

2510 Westchester Ave
Ste 202
Bronx, NY 10461-3585

Federally qualified health center certification: CCN 571156

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2019

Last certification

Feb 14, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1543-1545 Inwood Ave
Bronx, NY 10452-2001

Federally qualified health center certification: CCN 571155

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 4, 2019

Last certification

Feb 4, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

2400 Linden Blvd
Brooklyn, NY 11208-4830

Federally qualified health center certification: CCN 571159

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2019

Last certification

Feb 14, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

56 Bay St
FL 6
Staten Island, NY 10301-2563

Federally qualified health center certification: CCN 571167

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 4, 2019

Last certification

Feb 4, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

1669 Bedford Ave
Brooklyn, NY 11225-2009

Federally qualified health center certification: CCN 571160

Legal name

SUN RIVER HEALTH INC.

Doing business as

SUN RIVER HEALTH SIDNEY R. BAER, JR.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2019

Last certification

Feb 14, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

347 W 37TH St
New York, NY 10018-4202

Federally qualified health center certification: CCN 571152

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 28, 2019

Last certification

Jan 28, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

459 E 149TH St
Ste 202
Bronx, NY 10455-1789

Federally qualified health center certification: CCN 571151

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 28, 2019

Last certification

Jan 28, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

57 Bay St
Staten Island, NY 10301-2510

Federally qualified health center certification: CCN 571154

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 28, 2019

Last certification

Jan 28, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

2412 Church Ave
Brooklyn, NY 11226-4005

Federally qualified health center certification: CCN 571188

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 15, 2019

Last certification

Mar 15, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

55 Horizon Dr
Huntington, NY 11743-4436

Federally qualified health center certification: CCN 331802

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 23, 2022

Last certification

Dec 23, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

11020 Jamaica Ave
Richmond Hill, NY 11418-2324

Federally qualified health center certification: CCN 331055

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 23, 2022

Last certification

Dec 23, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

4377 Bronx Blvd
Bronx, NY 10466-1397

Federally qualified health center certification: CCN 331800

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 23, 2022

Last certification

Dec 23, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

820 Saint Anns Ave
Bronx, NY 10456-7885

Federally qualified health center certification: CCN 331828

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 27, 2023

Last certification

Sep 27, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

445 Oak St
Ste 201
Copiague, NY 11726-3111

Federally qualified health center certification: CCN 571879

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 9, 2024

Last certification

Oct 9, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

360 Mamaroneck Ave
# 1
White Plains, NY 10605-1700

Federally qualified health center certification: CCN 571877

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 9, 2024

Last certification

Oct 9, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 5, 1975 in NY

Enrollment address

14 Lawton St
# 1
New Rochelle, NY 10801-6349

Federally qualified health center certification: CCN 571907

Legal name

SUN RIVER HEALTH INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 30, 2025

Last certification

Apr 30, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2351 Bedford Ave
Brooklyn, NY 11226-5403

Related certifications (CCN) 5

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • North Creek, NY
  • NPI 1811091028

  Related provider number

  Provider of Services
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Poughkeepsie, NY
  • NPI 1033273321

  Related provider number

  Provider of Services
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amityville, NY
  • NPI 1407260250

  Related provider number

  Provider of Services
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Shirley, NY
  • NPI 1417352709

  Related provider number

  Provider of Services
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Greenport, NY
  • NPI 1851585962

  Related provider number

  Provider of Services

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838

  6608783568

  Same PAC ID
• Sun River Health Inc.

  dba Sun River Health Pharmacy

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1023464831

  6608783568

  Same PAC ID

Other NPIs on the same Medicare enrollment 26

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

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Poughkeepsie, NY
  • NPI 1033273321

  O20020829000010

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Beacon, NY
  • NPI 1083777841

  O20070822000304

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Riverhead, NY
  • NPI 1184094104

  O20151119001596

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1184901928

  O20120522000805

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Nyack, NY
  • NPI 1205288750

  O20160804001012

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amityville, NY
  • NPI 1407260250

  O20140920000089

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, NY
  • NPI 1407910557

  O20071023000819

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Shirley, NY
  • NPI 1417352709

  O20150121001429

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Coram, NY
  • NPI 1437418456

  O20120607000702

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • New Paltz, NY
  • NPI 1467515254

  O20071023000817

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Patchogue, NY
  • NPI 1508261892

  O20141216000285

  Same enrollment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Dover Plains, NY
  • NPI 1548324841

  O20070822000409

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Hudson River Healthcare Inc

Locations

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 629

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.

• Patricia A. Boltin, PNP

  • Pediatric Nurse Practitioner
  • Peekskill, NY
  • NPI 1336241447
  Medicare reassignment NPD
• Robert Dweck, M.D.

  • Family Medicine Physician
  • Amenia, NY
  • NPI 1063447746

  CT

  Medicare reassignment NPD
• Amy M. Tocco, M.D.

  • Pediatrics Physician
  • Sharon, CT
  • NPI 1437162195
  Medicare reassignment NPD
• Danielle Abadi, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1003298993
  NPD
• Mary Claire Thomas Abbot, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1215322383
  NPD
• Nancy H Abdel-Wahab, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1639207350
  NPD
• Marie Abougou, MD

  • Obstetrics & Gynecology Physician
  • Harris, NY
  • NPI 1770739559
  NPD
• Alex Abraham, DO

  • Family Medicine Physician
  • Amityville, NY
  • NPI 1194222968
  NPD
• Abigail K Addei, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1972842169
  NPD
• Lovedhi Aggarwal, MD

  • Geriatric Medicine (Family Medicine) Physician
  • East Setauket, NY
  • NPI 1760668933
  NPD
• Neeta Ahir, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Bronx, NY
  • NPI 1306548805
  NPD
• Sana Ahmad, DO

  • Cardiovascular Disease Physician
  • Coram, NY
  • NPI 1811492648
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1619969458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5036",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106025036",
            "telephone_number": "914-734-8800",
            "fax_number": "914-734-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8800",
            "fax_number": "914-734-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RIVER HEALTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN RIVER HEALTH INC.",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "LIPTON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP INFO/PRACTICE MGMT SYSTEMS",
        "authorized_official_telephone_number": "914-384-2375"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Stolzenberg
• Stowe Road Dental PLLC
• Ryang J. Suh, M.D.
• John Michael Sullivan, L.C.S.W., C.A.S.A.C.
• Sun River Health Inc.
• Miriam Surval, CSW
• Melanie Sussman
• Lindsay Sutton
• Kathleen E. Talbot, LCSW
• Giovanni Michael Tamburri

• Federally Qualified Health Center (FQHC) in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.