Sun PM&R LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SUN PM&R LLC

Practice address

4810 N Kings Hwy
Myrtle Beach, SC 29577-2558

Phone

(732) 241-5585

Fax

(732) 662-5226

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Jidong Sun, MD

Title

Sole Proprieter

Phone

(732) 241-5585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1689208399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 GENOA CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795249",
            "telephone_number": "908-902-3474",
            "fax_number": "732-662-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772558",
            "telephone_number": "732-241-5585",
            "fax_number": "732-662-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PM&R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JIDONG",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "732-241-5585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Leigh Suggs, DNP, APRN, FNP-C
• Andrea Lee Sulewski, ATC
• Jackson Lewis Sullivan, MD
• Stefan Sultanov, MAINTERN
• Ali Estelle Summers
• Elizabeth Ashley Suniega, M.D.
• Sunrise Counseling Services LLC
• Hannah Grace Surface
• Surge Eye Associates, LLC
• Surgical Associates of Myrtle Beach, LLC

• Medical Specialty Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.