Organization Active NPI

Sunlight Medical, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1760662860
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210417 Issued in NY
Legal business name
SUNLIGHT MEDICAL, P.C.
Practice address
2769 Coney Island Avenue
Brooklyn, NY 11235
Phone
(718) 934-7500
NPI assigned
Nov 7, 2007
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Paul Mathieu, M.D.
Title
President
Phone
(917) 769-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210417 NY Primary

Addresses

Primary practice location

2769 Coney Island Avenue
Brooklyn, NY 11235

Mailing address

2792 Ocean Ave
Brooklyn, NY 11229-4729
Phone (718) 934-7500

Other identifiers 1

IdentifierTypeStateIssuer
03027965MedicaidNY

National Provider Directory

National Provider Directory

Locations

128 Brighton 11th St
Brooklyn, NY 11235
Phone (347) 275-6470

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1760662860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294729",
            "telephone_number": "718-934-7500",
            "fax_number": "347-462-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 CONEY ISLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-934-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "MATHIEU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-769-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03027965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.