Sunrise Pain Medicine PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A207279-1 Issued in NY

Legal business name

SUNRISE PAIN MEDICINE PLLC

Practice address

60 Jefferson St
Suite 5
Monticello, NY 12701-1122

Phone

(845) 796-3700

Fax

(845) 796-3701

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Arumugam Balagan Jayaraj, MD

Title

Pain Physician

Phone

(845) 796-3700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• JAYINS I CORP Former legal business name

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1629219563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 JEFFERSON ST",
            "address_2": "SUITE 5",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011122",
            "telephone_number": "845-796-3700",
            "fax_number": "845-796-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 JEFFERSON ST",
            "address_2": "SUITE 5",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011122",
            "telephone_number": "845-796-3700",
            "fax_number": "845-796-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "JAYARAJ",
        "authorized_official_first_name": "ARUMUGAM",
        "authorized_official_middle_name": "BALAGAN",
        "authorized_official_title_or_position": "PAIN PHYSICIAN",
        "authorized_official_telephone_number": "845-796-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "A207279-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN",
            "identifier": "1083668321",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN",
            "identifier": "1629219563",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G70936",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10158463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAYINS I CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Debra Sullivan
• James P Sullivan, PTA
• Megan Sullivan
• Sulmedtran Inc
• Sun River Health Inc
• Cynthia C Sweetapple, REGISTERED NURSE
• Kaitlin C Swiat, P.T.A.
• Renee Sylvester, CASAC
• Synergy of Monticello Inc
• Abebi Taylor, R.N.

• Pain Medicine (Anesthesiology) Physician in Monticello, NY
• Providers in Monticello, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.